Hla class i phenotype qual at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$181.20
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.
$302.00
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.
$79.04 with UPMC Health Plan vs $409.51 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $79.04 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $89.40 | ↓ -51% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $91.16 | ↓ -50% |
| UPMC Health Plan | Managed Medicaid | $93.20 | ↓ -49% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $93.20 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $94.40 | ↓ -48% |
| UPMC Health Plan | Partners/Select | $97.98 | ↓ -46% |
| Aetna of PA | Medicare | $100.30 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $103.15 | ↓ -43% |
| AmeriHealth Caritas | Medicare | $103.16 | ↓ -43% |
| United Healthcare | Medicare | $103.16 | ↓ -43% |
| Aetna | Medicare | $105.07 | ↓ -42% |
| Aetna | Neighborhood Network | $108.72 | ↓ -40% |
| Aetna | CHIP/Medicaid | $110.15 | ↓ -39% |
| Aetna | EBR FI | $117.78 | ↓ -35% |
| Aetna | Home Depot Employer Group | $118.38 | ↓ -35% |
| Cigna | Commercial | $120.80 | ↓ -33% |
| Aetna | EBR ASO | $120.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $120.80 | ↓ -33% |
| Cigna | New Business ASO | $120.80 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicaid | $125.65 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $131.90 | ↓ -27% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $134.08 | ↓ -26% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $144.40 | ↓ -20% |
| Highmark BCBS of PA | Managed Care - Social Mission | $144.90 | ↓ -20% |
| InterGroup | PPO | $151.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $194.07 | ↑ +7% |
| Coventry/First Health | Commercial | $211.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $241.60 | ↑ +33% |
| Private Health Care Systems | PPO | $256.70 | ↑ +42% |
| Humana | Commercial | $256.70 | ↑ +42% |
| UPMC Health Plan | CHIP | $271.54 | ↑ +50% |
| Multiplan | PPO | $277.84 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $291.10 | ↑ +61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $305.78 | ↑ +69% |
| Highmark BCBS of PA | Commercial - Indemnity | $409.51 | ↑ +126% |
Visitor-reported prices
Comments
Hla class i phenotype qual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $181.20 | $74.92 – $105.07 |
| UPMC Passavant-McCandless | Pittsburgh | $404.40 | $75.36 – $109.77 |
| UPMC Presbyterian | Pittsburgh | $585.00 | $79.51 – $131.90 |
| UPMC Altoona | Altoona | $230.40 | $84.73 – $307.20 |
| UPMC Bedford | Everett | $594.00 | $34.46 – $891.00 |
| UPMC Carlisle | Carlisle | $531.60 | $77.03 – $753.10 |
| UPMC Community Osteopathic | Harrisburg | $531.60 | $84.73 – $753.10 |
| UPMC East | Monroeville | $363.60 | $74.70 – $484.80 |