Hla x-math non-cytotoxic at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$739.20
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.
$1,232.00
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.
$101.23 with UPMC Health Plan vs $1,069.04 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 Medicaid | $101.23 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $101.23 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $102.47 | ↓ -86% |
| UPMC Health Plan | Commercial | $103.04 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $108.21 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $112.31 | ↓ -85% |
| Aetna of PA | Medicare | $114.96 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $118.24 | ↓ -84% |
| United Healthcare | Medicare | $118.25 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $118.25 | ↓ -84% |
| Aetna | CHIP/Medicaid | $119.64 | ↓ -84% |
| Aetna | Medicare | $120.44 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $136.48 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $143.26 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $145.63 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $156.84 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $215.87 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $343.14 | ↓ -54% |
| UPMC Health Plan | CHIP | $353.98 | ↓ -52% |
| Aetna | Neighborhood Network | $418.32 | ↓ -43% |
| Aetna | EBR FI | $453.18 | ↓ -39% |
| Aetna | Home Depot Employer Group | $455.50 | ↓ -38% |
| Highmark BCBS of PA | Managed Care | $459.56 | ↓ -38% |
| Cigna | New Business ASO | $464.80 | ↓ -37% |
| Cigna | Commercial | $464.80 | ↓ -37% |
| Aetna | NBR ASO/FI | $464.80 | ↓ -37% |
| Aetna | EBR ASO | $464.80 | ↓ -37% |
| InterGroup | PPO | $581.00 | ↓ -21% |
| Highmark BCBS of PA | UPMC Emergent | $689.34 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $724.11 | ↓ -2% |
| Coventry/First Health | Commercial | $813.40 | ↑ +10% |
| Preferred Healthcare System | PPO | $929.60 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Indemnity | $969.74 | ↑ +31% |
| Humana | Commercial | $987.70 | ↑ +34% |
| Private Health Care Systems | PPO | $987.70 | ↑ +34% |
| Multiplan | PPO | $1,069.04 | ↑ +45% |
Visitor-reported prices
Comments
Hla x-math non-cytotoxic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,043.40 | $92.03 – $215.87 |
| UPMC Carlisle | Carlisle | $608.40 | $54.17 – $861.90 |
| UPMC Community Osteopathic | Harrisburg | $608.40 | $92.03 – $861.90 |
| UPMC East | Monroeville | $925.20 | $92.03 – $1,233.60 |
| UPMC Hamot | Erie | $766.80 | $92.03 – $213.84 |
| UPMC Hanover | Hanover | $608.40 | $54.17 – $175.18 |
| UPMC Lititz | Lititz | $608.40 | $54.17 – $175.18 |
| UPMC Memorial | York | $608.40 | $54.17 – $569.98 |