Inj, tyenne, 1 mg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$12.75
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.
$21.25
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.
$2.79 with UPMC Health Plan vs $14.72 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 | $2.79 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $3.67 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $4.14 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.42 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.42 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $4.42 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4.42 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $4.53 | ↓ -64% |
| Aetna of PA | Medicare | $4.64 | ↓ -64% |
| Aetna | CHIP/Medicaid | $4.69 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.77 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $4.77 | ↓ -63% |
| United Healthcare | Medicare | $4.77 | ↓ -63% |
| Aetna | Medicare | $4.86 | ↓ -62% |
| UPMC Health Plan | Commercial | $5.43 | ↓ -57% |
| UPMC Health Plan | CHIP | $5.60 | ↓ -56% |
| Aetna | Neighborhood Network | $5.76 | ↓ -55% |
| Aetna | EBR FI | $6.24 | ↓ -51% |
| Aetna | Home Depot Employer Group | $6.27 | ↓ -51% |
| Cigna | Commercial | $6.40 | ↓ -50% |
| Cigna | New Business ASO | $6.40 | ↓ -50% |
| Aetna | NBR ASO/FI | $6.40 | ↓ -50% |
| Aetna | EBR ASO | $6.40 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6.67 | ↓ -48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6.77 | ↓ -47% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $8.00 | ↓ -37% |
| InterGroup | PPO | $8.00 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $8.94 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $9.06 | ↓ -29% |
| Coventry/First Health | Commercial | $11.20 | ↓ -12% |
| Preferred Healthcare System | PPO | $12.80 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $13.59 | ↑ +7% |
| Private Health Care Systems | PPO | $13.60 | ↑ +7% |
| Humana | Commercial | $13.60 | ↑ +7% |
| Multiplan | PPO | $14.72 | ↑ +15% |
Visitor-reported prices
Comments
Inj, tyenne, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WellSpan Chambersburg Hospital | Chambersburg | $4,456.60 | $4.70 – $7,855.70 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $3.03 – $9.85 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $3.76 – $9.85 |