Insert/repl sq defib w/eltrd at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,995.20
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.
$4,992.00
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.
$405.38 with Highmark BCBS of PA vs $33,623.56 with Aetna — 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 | $405.38 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $881.95 | ↓ -71% |
| Aetna | CHIP/Medicaid | $898.56 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,172.81 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,359.78 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $1,570.60 | ↓ -48% |
| UPMC Health Plan | CHIP | $1,747.20 | ↓ -42% |
| Aetna | Neighborhood Network | $1,797.12 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,821.05 | ↓ -39% |
| Aetna | EBR FI | $1,946.88 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,956.86 | ↓ -35% |
| Aetna | EBR ASO | $1,996.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,996.80 | ↓ -33% |
| Cigna | Commercial | $1,996.80 | ↓ -33% |
| Cigna | New Business ASO | $1,996.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,171.52 | ↓ -28% |
| Highmark BCBS of PA | UPMC Emergent | $2,355.92 | ↓ -21% |
| InterGroup | PPO | $2,496.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,745.60 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,745.60 | ↓ -8% |
| Coventry/First Health | Commercial | $3,494.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,993.60 | ↑ +33% |
| Humana | Commercial | $4,243.20 | ↑ +42% |
| Private Health Care Systems | PPO | $4,243.20 | ↑ +42% |
| Multiplan | PPO | $4,592.64 | ↑ +53% |
| UPMC Health Plan | Managed Medicare | $28,607.53 | ↑ +855% |
| UPMC Health Plan | Partners/Select | $31,355.50 | ↑ +947% |
| Aetna of PA | Medicare | $32,095.21 | ↑ +972% |
| Highmark Wholecare (prev Gateway) | Medicare | $33,009.16 | ↑ +1002% |
| AmeriHealth Caritas | Medicare | $33,012.22 | ↑ +1002% |
| United Healthcare | Medicare | $33,012.22 | ↑ +1002% |
| Aetna | Medicare | $33,623.56 | ↑ +1023% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert/repl sq defib w/eltrd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $30,741.60 | $401.56 – $33,623.56 |
| UPMC Passavant-McCandless | Pittsburgh | $34,387.20 | $405.38 – $33,623.56 |
| UPMC Presbyterian | Pittsburgh | $59,956.20 | $405.38 – $33,623.56 |
| UPMC Altoona | Altoona | $40,435.80 | $401.56 – $53,914.40 |
| UPMC Carlisle | Carlisle | $48,933.60 | $922.97 – $69,322.60 |
| UPMC Community Osteopathic | Harrisburg | $48,933.60 | $922.97 – $69,322.60 |
| UPMC East | Monroeville | $31,258.80 | $405.38 – $41,678.40 |
| UPMC Hamot | Erie | $34,910.40 | $401.56 – $44,457.34 |