Ins pq tunnld ip cath w/img at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$15,708.00
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.
$26,180.00
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.
$2,234.51 with UPMC Work Partners vs $24,085.60 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 Work Partners | Workers Comp | $2,234.51 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,747.85 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $3,148.87 | ↓ -80% |
| UPMC Health Plan | Partners/Select | $3,451.35 | ↓ -78% |
| Aetna of PA | Medicare | $3,532.77 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,633.37 | ↓ -77% |
| United Healthcare | Medicare | $3,633.70 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $3,633.70 | ↓ -77% |
| Aetna | Medicare | $3,700.99 | ↓ -76% |
| Aetna | CHIP/Medicaid | $4,712.40 | ↓ -70% |
| UPMC Health Plan | Commercial | $5,455.99 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,949.81 | ↓ -49% |
| UPMC Health Plan | CHIP | $8,812.16 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9,217.20 | ↓ -41% |
| Aetna | Neighborhood Network | $9,424.80 | ↓ -40% |
| Aetna | EBR FI | $10,210.20 | ↓ -35% |
| Aetna | Home Depot Employer Group | $10,262.56 | ↓ -35% |
| Aetna | EBR ASO | $10,472.00 | ↓ -33% |
| Cigna | Commercial | $10,472.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $10,472.00 | ↓ -33% |
| Cigna | New Business ASO | $10,472.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $10,646.26 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $12,343.88 | ↓ -21% |
| InterGroup | PPO | $13,090.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $14,399.00 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $14,399.00 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $15,969.47 | ↑ +2% |
| Coventry/First Health | Commercial | $18,326.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $20,944.00 | ↑ +33% |
| Private Health Care Systems | PPO | $22,253.00 | ↑ +42% |
| Humana | Commercial | $22,253.00 | ↑ +42% |
| Multiplan | PPO | $24,085.60 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ins pq tunnld ip cath w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $11,944.80 | $2,515.16 – $3,700.99 |
| UPMC Passavant-McCandless | Pittsburgh | $14,346.00 | $2,234.51 – $3,700.99 |
| UPMC Presbyterian | Pittsburgh | $11,676.60 | $931.20 – $3,700.99 |
| UPMC St. Margaret | Pittsburgh | $8,686.20 | $2,234.51 – $3,700.99 |
| UPMC Altoona | Altoona | $7,305.00 | $2,234.51 – $9,740.00 |
| UPMC Carlisle | Carlisle | $11,758.20 | $1,016.56 – $16,657.45 |
| UPMC Cole | Coudersport | $358.80 | $165.77 – $2,234.51 |
| UPMC Community Osteopathic | Harrisburg | $11,758.20 | $1,016.56 – $16,657.45 |