Grfg autol soft tiss dir exc at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
not published by hospital
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.
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What you pay up front if you don't use insurance.
not published by hospital
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.
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The hospital's undiscounted list price — almost no one pays this.
$273.99 with Highmark BCBS of PA vs $3,839.33 with Aetna — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $273.99 | — |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $426.65 | — |
| UPMC Health Plan | Managed Medicaid | $426.65 | — |
| Aetna | CHIP/Medicaid | $504.22 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $575.20 | — |
| UPMC Work Partners | Workers Comp | $585.29 | — |
| Geisinger | Medicaid/CHIP | $603.78 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $613.75 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $660.99 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $792.67 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $919.05 | — |
| Highmark BCBS of PA | Managed Care | $1,061.54 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $1,230.81 | — |
| Highmark BCBS of PA | UPMC Emergent | $1,592.31 | — |
| UPMC Health Plan | Managed Medicare | $3,266.57 | — |
| UPMC Health Plan | Partners/Select | $3,580.35 | — |
| Aetna of PA | Medicare | $3,664.82 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $3,769.17 | — |
| United Healthcare | Medicare | $3,769.52 | — |
| AmeriHealth Caritas | Medicare | $3,769.52 | — |
| Aetna | Medicare | $3,839.33 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Grfg autol soft tiss dir exc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $271.40 – $3,839.33 |
| UPMC Kane | Kane | $4,329.00 | $426.65 – $2,024.12 |
| Uniontown Hospital | Uniontown | $10,474.83 | $205.80 – $7,134.04 |
| UPMC Altoona | Altoona | not published | $271.40 – $3,769.52 |
| UPMC Community Osteopathic | Harrisburg | not published | $523.61 – $11,127.90 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $12,504.00 – $12,504.00 |