Ikbkap gene at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$552.60
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.
?
What you pay up front if you don't use insurance.
$921.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$36.79 with UPMC Health Plan vs $671.60 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $36.79 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $38.85 | ↓ -93% |
| UPMC Health Plan | Partners/Select | $40.32 | ↓ -93% |
| Aetna of PA | Medicare | $41.28 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $42.45 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $42.45 | ↓ -92% |
| United Healthcare | Medicare | $42.45 | ↓ -92% |
| Aetna | Medicare | $43.24 | ↓ -92% |
| UPMC Health Plan | Commercial | $48.40 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $127.51 | ↓ -77% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $131.27 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $131.27 | ↓ -76% |
| Aetna | CHIP/Medicaid | $155.14 | ↓ -72% |
| UPMC Health Plan | CHIP | $166.26 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $176.98 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $185.78 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $188.84 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $202.68 | ↓ -63% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $203.38 | ↓ -63% |
| Aetna | Neighborhood Network | $262.80 | ↓ -52% |
| Highmark BCBS of PA | Managed Care | $271.45 | ↓ -51% |
| Aetna | EBR FI | $284.70 | ↓ -48% |
| Aetna | Home Depot Employer Group | $286.16 | ↓ -48% |
| Aetna | EBR ASO | $292.00 | ↓ -47% |
| Cigna | New Business ASO | $292.00 | ↓ -47% |
| Cigna | Commercial | $292.00 | ↓ -47% |
| Aetna | NBR ASO/FI | $292.00 | ↓ -47% |
| InterGroup | PPO | $365.00 | ↓ -34% |
| Highmark BCBS of PA | UPMC Emergent | $407.17 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $427.70 | ↓ -23% |
| Coventry/First Health | Commercial | $511.00 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $572.79 | ↑ +4% |
| Preferred Healthcare System | PPO | $584.00 | ↑ +6% |
| Humana | Commercial | $620.50 | ↑ +12% |
| Private Health Care Systems | PPO | $620.50 | ↑ +12% |
| Multiplan | PPO | $671.60 | ↑ +22% |
Visitor-reported prices
Comments
Ikbkap gene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $600.60 | $36.53 – $137.24 |
| UPMC Presbyterian | Pittsburgh | $552.60 | $38.85 – $185.78 |
| UPMC St. Margaret | Pittsburgh | $552.60 | $33.94 – $186.30 |