Hrdtry brst ca-rlatd do 5+ at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,135.80
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.
$6,893.00
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.
$576.00 with Aetna vs $2,944.00 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $576.00 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $609.82 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $671.12 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $969.35 | ↓ -77% |
| UPMC Health Plan | CHIP | $1,120.00 | ↓ -73% |
| Aetna | Neighborhood Network | $1,152.00 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $1,220.37 | ↓ -70% |
| Aetna | EBR FI | $1,248.00 | ↓ -70% |
| Aetna | Home Depot Employer Group | $1,254.40 | ↓ -70% |
| Cigna | Commercial | $1,280.00 | ↓ -69% |
| Aetna | EBR ASO | $1,280.00 | ↓ -69% |
| Cigna | New Business ASO | $1,280.00 | ↓ -69% |
| Aetna | NBR ASO/FI | $1,280.00 | ↓ -69% |
| Highmark BCBS of PA | Managed Care | $1,298.23 | ↓ -69% |
| UPMC Health Plan | Partners/Select | $1,337.59 | ↓ -68% |
| Aetna of PA | Medicare | $1,369.15 | ↓ -67% |
| UPMC Health Plan | Commercial | $1,392.00 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,408.14 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $1,408.27 | ↓ -66% |
| United Healthcare | Medicare | $1,408.27 | ↓ -66% |
| Aetna | Medicare | $1,434.35 | ↓ -65% |
| InterGroup | PPO | $1,600.00 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $1,760.00 | ↓ -57% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,760.00 | ↓ -57% |
| Highmark BCBS of PA | UPMC Emergent | $1,947.35 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,045.55 | ↓ -51% |
| Coventry/First Health | Commercial | $2,240.00 | ↓ -46% |
| Preferred Healthcare System | PPO | $2,560.00 | ↓ -38% |
| Private Health Care Systems | PPO | $2,720.00 | ↓ -34% |
| Humana | Commercial | $2,720.00 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,739.45 | ↓ -34% |
| Multiplan | PPO | $2,944.00 | ↓ -29% |
Visitor-reported prices
Comments
Hrdtry brst ca-rlatd do 5+ at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,605.20 | $609.82 – $1,434.35 |
| UPMC Presbyterian | Pittsburgh | $1,920.00 | $497.06 – $1,434.35 |
| UPMC St. Margaret | Pittsburgh | $4,135.80 | $609.82 – $1,434.35 |
| UPMC Altoona | Altoona | $3,982.20 | $604.07 – $2,560.00 |
| UPMC Bedford | Everett | $4,135.80 | $470.47 – $2,880.00 |
| UPMC East | Monroeville | $1,920.00 | $609.82 – $2,560.00 |
| UPMC Hamot | Erie | $4,200.60 | $604.07 – $1,408.27 |
| UPMC Northwest | Seneca | $4,135.80 | $671.12 – $1,408.27 |