Ins cath ren art 1st uni at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,833.20
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.
$4,722.00
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.
$247.21 with UPMC Health Plan vs $10,203.73 with Highmark BCBS of PA — 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 | $247.21 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $247.21 | ↓ -91% |
| Aetna | CHIP/Medicaid | $292.16 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $333.29 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $349.85 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $355.63 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $383.00 | ↓ -86% |
| UPMC Health Plan | Commercial | $1,694.89 | ↓ -40% |
| Aetna | Neighborhood Network | $1,699.92 | ↓ -40% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,755.75 | ↓ -38% |
| Aetna | EBR FI | $1,841.58 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,851.02 | ↓ -35% |
| UPMC Health Plan | CHIP | $1,866.87 | ↓ -34% |
| Cigna | New Business ASO | $1,888.80 | ↓ -33% |
| Aetna | EBR ASO | $1,888.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,888.80 | ↓ -33% |
| Cigna | Commercial | $1,888.80 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $2,013.18 | ↓ -29% |
| InterGroup | PPO | $2,361.00 | ↓ -17% |
| UPMC Health Plan | Managed Medicare | $2,808.41 | ↓ -1% |
| UPMC Health Plan | Partners/Select | $3,078.18 | ↑ +9% |
| Aetna of PA | Medicare | $3,150.80 | ↑ +11% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↑ +14% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↑ +14% |
| United Healthcare | Medicare | $3,240.82 | ↑ +14% |
| Aetna | Medicare | $3,300.84 | ↑ +17% |
| Coventry/First Health | Commercial | $3,305.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,777.60 | ↑ +33% |
| Private Health Care Systems | PPO | $4,013.70 | ↑ +42% |
| Humana | Commercial | $4,013.70 | ↑ +42% |
| Multiplan | PPO | $4,344.24 | ↑ +53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,079.55 | ↑ +79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,889.36 | ↑ +108% |
| Highmark BCBS of PA | Managed Care | $6,802.46 | ↑ +140% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,887.16 | ↑ +178% |
| Highmark BCBS of PA | UPMC Emergent | $10,203.73 | ↑ +260% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ins cath ren art 1st uni at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,866.20 | $247.21 – $3,300.84 |
| UPMC Passavant-McCandless | Pittsburgh | $7,507.80 | $247.21 – $3,300.84 |
| UPMC Presbyterian | Pittsburgh | $10,031.40 | $247.21 – $3,300.84 |
| UPMC St. Margaret | Pittsburgh | $8,832.00 | $247.21 – $3,300.84 |
| UPMC Altoona | Altoona | $3,789.00 | $224.74 – $5,052.00 |
| UPMC Carlisle | Carlisle | $6,300.60 | $285.42 – $8,925.85 |
| UPMC Community Osteopathic | Harrisburg | $6,300.60 | $294.41 – $8,925.85 |
| UPMC East | Monroeville | $7,671.00 | $247.21 – $10,228.00 |