Hdr rdncl ntrstl/icav brchtx at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$9,493.80
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.
$15,823.00
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.
$265.49 with Highmark BCBS of PA vs $14,557.16 with Multiplan — 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 | $265.49 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $502.43 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $502.43 | ↓ -95% |
| Aetna | CHIP/Medicaid | $593.77 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $619.06 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $677.36 | ↓ -93% |
| UPMC Health Plan | Partners/Select | $678.53 | ↓ -93% |
| Aetna of PA | Medicare | $694.53 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $711.02 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $714.31 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $714.38 | ↓ -92% |
| United Healthcare | Medicare | $714.38 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $722.76 | ↓ -92% |
| Aetna | Medicare | $727.61 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $764.14 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $768.08 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $778.39 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $890.53 | ↓ -91% |
| Highmark BCBS of PA | Managed Care | $1,028.60 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,192.62 | ↓ -87% |
| Highmark BCBS of PA | UPMC Emergent | $1,542.91 | ↓ -84% |
| UPMC Health Plan | Commercial | $2,427.43 | ↓ -74% |
| UPMC Health Plan | CHIP | $3,045.17 | ↓ -68% |
| Aetna | Neighborhood Network | $5,696.28 | ↓ -40% |
| Aetna | EBR FI | $6,170.97 | ↓ -35% |
| Aetna | Home Depot Employer Group | $6,202.62 | ↓ -35% |
| Cigna | Commercial | $6,329.20 | ↓ -33% |
| Aetna | EBR ASO | $6,329.20 | ↓ -33% |
| Cigna | New Business ASO | $6,329.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $6,329.20 | ↓ -33% |
| InterGroup | PPO | $7,911.50 | ↓ -17% |
| Coventry/First Health | Commercial | $11,076.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $12,658.40 | ↑ +33% |
| Private Health Care Systems | PPO | $13,449.55 | ↑ +42% |
| Humana | Commercial | $13,449.55 | ↑ +42% |
| Multiplan | PPO | $14,557.16 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Hdr rdncl ntrstl/icav brchtx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,553.60 | $394.40 – $3,617.60 |
| UPMC Community Osteopathic | Harrisburg | $2,553.60 | $394.40 – $3,617.60 |
| UPMC Lititz | Lititz | $2,553.60 | $394.40 – $1,066.21 |
| UPMC Memorial | York | $2,553.60 | $214.34 – $2,460.40 |
| UPMC Somerset | Somerset | $2,553.60 | $260.32 – $764.14 |