Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$154.80
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.
$258.00
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.
$7.99 with Highmark BCBS of PA vs $237.36 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 | $7.99 | ↓ -95% |
| Aetna | Medicare | $10.58 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $26.81 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $27.19 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity | $35.91 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $36.41 | ↓ -76% |
| Aetna | CHIP/Medicaid | $46.44 | ↓ -70% |
| Highmark BCBS of PA | UPMC Emergent | $54.62 | ↓ -65% |
| Aetna | Neighborhood Network | $92.88 | ↓ -40% |
| Aetna | EBR FI | $100.62 | ↓ -35% |
| Aetna | Home Depot Employer Group | $101.14 | ↓ -35% |
| Cigna | New Business ASO | $103.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $103.20 | ↓ -33% |
| Cigna | Commercial | $103.20 | ↓ -33% |
| Aetna | EBR ASO | $103.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $124.49 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $129.00 | ↓ -17% |
| InterGroup | PPO | $129.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $141.90 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $141.90 | ↓ -8% |
| Coventry/First Health | Commercial | $180.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $192.31 | ↑ +24% |
| Preferred Healthcare System | PPO | $206.40 | ↑ +33% |
| Private Health Care Systems | PPO | $219.30 | ↑ +42% |
| Humana | Commercial | $219.30 | ↑ +42% |
| Multiplan | PPO | $237.36 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $203.40 | $7.92 – $98.30 |
| UPMC Passavant-McCandless | Pittsburgh | $298.20 | $7.99 – $180.65 |
| UPMC Presbyterian | Pittsburgh | $438.00 | $7.99 – $201.27 |
| UPMC St. Margaret | Pittsburgh | $238.80 | $7.99 – $152.76 |
| UPMC Altoona | Altoona | $184.20 | $7.92 – $245.60 |
| UPMC Bedford | Everett | $125.40 | $21.96 – $188.10 |
| UPMC Carlisle | Carlisle | $108.00 | $24.66 – $399.00 |
| UPMC Cole | Coudersport | $111.00 | $10.93 – $61.60 |