Inj for mammo ductogram at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$525.00
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.
$875.00
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.
$56.30 with Highmark BCBS of PA vs $805.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $56.30 | ↓ -89% |
| Aetna | Medicare | $72.13 | ↓ -86% |
| Aetna | CHIP/Medicaid | $157.50 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $162.87 | ↓ -69% |
| UPMC Health Plan | Commercial | $165.54 | ↓ -68% |
| UPMC Health Plan | CHIP | $182.34 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $185.19 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $188.83 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $218.11 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $252.89 | ↓ -52% |
| Aetna | Neighborhood Network | $315.00 | ↓ -40% |
| Highmark BCBS of PA | UPMC Emergent | $327.17 | ↓ -38% |
| Aetna | EBR FI | $341.25 | ↓ -35% |
| Aetna | Home Depot Employer Group | $343.00 | ↓ -35% |
| Cigna | New Business ASO | $350.00 | ↓ -33% |
| Aetna | EBR ASO | $350.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $350.00 | ↓ -33% |
| Cigna | Commercial | $350.00 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $437.50 | ↓ -17% |
| InterGroup | PPO | $437.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $481.25 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $481.25 | ↓ -8% |
| Coventry/First Health | Commercial | $612.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $700.00 | ↑ +33% |
| Private Health Care Systems | PPO | $743.75 | ↑ +42% |
| Humana | Commercial | $743.75 | ↑ +42% |
| Multiplan | PPO | $805.00 | ↑ +53% |
Visitor-reported prices
Comments
Inj for mammo ductogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $306.60 | $70.01 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $306.60 | $83.08 – $434.35 |
| UPMC Hanover | Hanover | $306.60 | $83.08 – $186.15 |
| UPMC Jameson | New Castle | $146.40 | $56.75 – $182.34 |
| UPMC Kane | Kane | $381.00 | $134.27 – $691.16 |
| UPMC Lititz | Lititz | $306.60 | $65.57 – $184.17 |
| UPMC Memorial | York | $306.60 | $45.45 – $186.15 |
| UPMC Somerset | Somerset | $306.60 | $55.20 – $175.98 |