Group mnt 2 or more 30 mins at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$22.80
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.
$38.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$5.42 with Highmark BCBS of PA vs $33.25 with Highmark BCBS of PA — 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 | $5.42 | ↓ -76% |
| Aetna | CHIP/Medicaid | $5.94 | ↓ -74% |
| UPMC Health Plan | CHIP | $11.55 | ↓ -49% |
| Aetna | Neighborhood Network | $11.88 | ↓ -48% |
| Aetna | EBR FI | $12.87 | ↓ -44% |
| Aetna | Home Depot Employer Group | $12.94 | ↓ -43% |
| Aetna | NBR ASO/FI | $13.20 | ↓ -42% |
| Cigna | New Business ASO | $13.20 | ↓ -42% |
| Aetna | EBR ASO | $13.20 | ↓ -42% |
| Cigna | Commercial | $13.20 | ↓ -42% |
| UPMC Health Plan | Commercial | $14.36 | ↓ -37% |
| InterGroup | PPO | $16.50 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicare | $16.50 | ↓ -28% |
| Highmark BCBS of PA | Managed Care - Social Mission | $16.55 | ↓ -27% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $18.15 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $18.15 | ↓ -20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $18.19 | ↓ -20% |
| Aetna | Medicare | $20.20 | ↓ -11% |
| Highmark BCBS of PA | Managed Care | $22.16 | ↓ -3% |
| Coventry/First Health | Commercial | $23.10 | ↑ +1% |
| Highmark BCBS of PA | Commercial - Indemnity | $24.36 | ↑ +7% |
| Preferred Healthcare System | PPO | $26.40 | ↑ +16% |
| Private Health Care Systems | PPO | $28.05 | ↑ +23% |
| Humana | Commercial | $28.05 | ↑ +23% |
| Multiplan | PPO | $30.36 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $33.25 | ↑ +46% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Group mnt 2 or more 30 mins at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $67.80 | $12.46 – $115.00 |
| UPMC Hanover | Hanover | $67.80 | $12.46 – $115.00 |
| UPMC Lititz | Lititz | $67.80 | $12.46 – $115.00 |
| UPMC Memorial | York | $67.80 | $4.38 – $115.00 |
| WellSpan Ephrata Community Hospital | Ephrata | $37.60 | $10.79 – $25.17 |