Hla class i semiquant panel at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,462.80
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.
$2,438.00
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.
$334.64 with UPMC Health Plan vs $2,242.96 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $334.64 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $353.38 | ↓ -76% |
| UPMC Health Plan | Partners/Select | $366.79 | ↓ -75% |
| Aetna of PA | Medicare | $375.44 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $386.13 | ↓ -74% |
| United Healthcare | Medicare | $386.16 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $386.16 | ↓ -74% |
| Aetna | Medicare | $393.32 | ↓ -73% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $403.73 | ↓ -72% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $412.74 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $412.74 | ↓ -72% |
| Aetna | CHIP/Medicaid | $487.79 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $556.45 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $584.10 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $593.75 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $639.45 | ↓ -56% |
| Highmark BCBS of PA | Managed Care - Social Mission | $641.75 | ↓ -56% |
| UPMC Health Plan | CHIP | $853.30 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $859.48 | ↓ -41% |
| Aetna | Neighborhood Network | $877.68 | ↓ -40% |
| Aetna | EBR FI | $950.82 | ↓ -35% |
| Aetna | Home Depot Employer Group | $955.70 | ↓ -35% |
| Aetna | EBR ASO | $975.20 | ↓ -33% |
| Cigna | Commercial | $975.20 | ↓ -33% |
| Cigna | New Business ASO | $975.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $975.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $1,060.53 | ↓ -28% |
| InterGroup | PPO | $1,219.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,289.22 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,354.24 | ↓ -7% |
| Coventry/First Health | Commercial | $1,706.60 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,813.63 | ↑ +24% |
| Preferred Healthcare System | PPO | $1,950.40 | ↑ +33% |
| Private Health Care Systems | PPO | $2,072.30 | ↑ +42% |
| Humana | Commercial | $2,072.30 | ↑ +42% |
| Multiplan | PPO | $2,242.96 | ↑ +53% |
Visitor-reported prices
Comments
Hla class i semiquant panel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $3,193.80 | $353.38 – $584.10 |
| UPMC Carlisle | Carlisle | $1,989.00 | $353.98 – $2,817.75 |
| UPMC Community Osteopathic | Harrisburg | $1,989.00 | $353.98 – $2,817.75 |
| UPMC Hamot | Erie | $2,169.00 | $353.38 – $521.52 |
| UPMC Hanover | Hanover | $1,989.00 | $353.98 – $572.10 |
| UPMC Lititz | Lititz | $1,989.00 | $353.98 – $572.10 |
| UPMC Memorial | York | $1,989.00 | $325.95 – $2,323.86 |
| UPMC Somerset | Somerset | $1,989.00 | $353.38 – $521.52 |