Ins cath ren art 2nd+ uni at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$11,560.20
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.
$19,267.00
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.
$344.41 with UPMC Health Plan vs $17,725.64 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 | $344.41 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $344.41 | ↓ -97% |
| Aetna | CHIP/Medicaid | $407.03 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $464.33 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $487.40 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $495.45 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $533.59 | ↓ -95% |
| UPMC Health Plan | Commercial | $2,012.90 | ↓ -83% |
| UPMC Health Plan | CHIP | $2,217.15 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,682.53 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $3,075.88 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $4,823.34 | ↓ -58% |
| UPMC Health Plan | Partners/Select | $5,286.66 | ↓ -54% |
| Aetna of PA | Medicare | $5,411.37 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,565.47 | ↓ -52% |
| United Healthcare | Medicare | $5,565.99 | ↓ -52% |
| AmeriHealth Caritas | Medicare | $5,565.99 | ↓ -52% |
| Aetna | Medicare | $5,669.06 | ↓ -51% |
| Aetna | Neighborhood Network | $6,936.12 | ↓ -40% |
| Aetna | EBR FI | $7,514.13 | ↓ -35% |
| Aetna | Home Depot Employer Group | $7,552.66 | ↓ -35% |
| Cigna | New Business ASO | $7,706.80 | ↓ -33% |
| Aetna | EBR ASO | $7,706.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $7,706.80 | ↓ -33% |
| Cigna | Commercial | $7,706.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,760.83 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $8,998.10 | ↓ -22% |
| InterGroup | PPO | $9,633.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $10,393.18 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Indemnity | $12,050.45 | ↑ +4% |
| Coventry/First Health | Commercial | $13,486.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $15,413.60 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $15,589.85 | ↑ +35% |
| Private Health Care Systems | PPO | $16,376.95 | ↑ +42% |
| Humana | Commercial | $16,376.95 | ↑ +42% |
| Multiplan | PPO | $17,725.64 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ins cath ren art 2nd+ uni at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $10,903.20 | $344.41 – $5,669.06 |
| UPMC Passavant-McCandless | Pittsburgh | $7,959.00 | $344.41 – $5,669.06 |
| UPMC Presbyterian | Pittsburgh | $10,031.40 | $344.41 – $5,669.06 |
| UPMC Altoona | Altoona | $5,785.80 | $313.10 – $7,714.40 |
| UPMC Carlisle | Carlisle | $10,450.20 | $397.64 – $14,804.45 |
| UPMC Community Osteopathic | Harrisburg | $10,450.20 | $410.16 – $14,804.45 |
| UPMC East | Monroeville | $7,236.60 | $344.41 – $9,648.80 |
| UPMC Hamot | Erie | $5,618.40 | $344.41 – $7,495.67 |