Graft xenmtrx sft rect 19x28cm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,168.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$3,614.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$45.72 with Aetna vs $1,879.19 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $45.72 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $58.42 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $83.82 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $83.82 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $85.93 | ↓ -96% |
| Aetna | Neighborhood Network | $91.44 | ↓ -96% |
| Aetna | EBR FI | $99.06 | ↓ -95% |
| Aetna | Home Depot Employer Group | $99.57 | ↓ -95% |
| Aetna | NBR ASO/FI | $101.60 | ↓ -95% |
| Cigna | Commercial | $101.60 | ↓ -95% |
| Aetna | EBR ASO | $101.60 | ↓ -95% |
| Cigna | New Business ASO | $101.60 | ↓ -95% |
| InterGroup | PPO | $127.00 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $127.00 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $127.00 | ↓ -94% |
| Coventry/First Health | Commercial | $177.80 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $188.42 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Indemnity | $188.42 | ↓ -91% |
| Highmark BCBS of PA | Managed Care | $194.64 | ↓ -91% |
| Highmark BCBS of PA | Managed Care - Social Mission | $194.64 | ↓ -91% |
| Preferred Healthcare System | PPO | $203.20 | ↓ -91% |
| Humana | Commercial | $215.90 | ↓ -90% |
| Private Health Care Systems | PPO | $215.90 | ↓ -90% |
| Multiplan | PPO | $233.68 | ↓ -89% |
| Aetna | Medicare | $248.94 | ↓ -89% |
| Highmark BCBS of PA | UPMC Emergent | $291.97 | ↓ -87% |
| UPMC Health Plan | CHIP | $1,216.43 | ↓ -44% |
| UPMC Health Plan | Commercial | $1,879.19 | ↓ -13% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft xenmtrx sft rect 19x28cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,076.20 | $960.55 – $960.55 |
| UPMC Passavant-McCandless | Pittsburgh | $3,260.40 | $1,765.19 – $1,765.19 |
| UPMC Presbyterian | Pittsburgh | $3,166.80 | $1,966.75 – $1,966.75 |
| UPMC St. Margaret | Pittsburgh | $3,827.40 | $1,492.65 – $1,492.65 |
| UPMC Altoona | Altoona | $1,559.40 | $47.88 – $1,216.43 |
| UPMC Bedford | Everett | $2,045.40 | $57.38 – $1,216.43 |
| UPMC Cole | Coudersport | $984.60 | $311.79 – $1,312.80 |
| UPMC Community Osteopathic | Harrisburg | $461.40 | $116.20 – $1,216.43 |