Interrog dev eval icpms ip at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$112.80
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.
?
What you pay up front if you don't use insurance.
$188.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.20 with Highmark BCBS of PA vs $263.25 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $19.20 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $26.88 | ↓ -76% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $26.88 | ↓ -76% |
| Aetna | CHIP/Medicaid | $31.77 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $33.27 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $36.24 | ↓ -68% |
| UPMC Health Plan | Partners/Select | $36.47 | ↓ -68% |
| Aetna of PA | Medicare | $37.33 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $38.05 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.39 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $38.39 | ↓ -66% |
| United Healthcare | Medicare | $38.39 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $38.67 | ↓ -66% |
| Aetna | Medicare | $39.10 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41.65 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $48.86 | ↓ -57% |
| Highmark BCBS of PA | Managed Care - Social Mission | $58.59 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $64.39 | ↓ -43% |
| Aetna | Neighborhood Network | $67.68 | ↓ -40% |
| Aetna | EBR FI | $73.32 | ↓ -35% |
| Aetna | Home Depot Employer Group | $73.70 | ↓ -35% |
| Cigna | Commercial | $75.20 | ↓ -33% |
| Aetna | EBR ASO | $75.20 | ↓ -33% |
| Cigna | New Business ASO | $75.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $75.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $78.46 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $86.23 | ↓ -24% |
| InterGroup | PPO | $94.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $117.69 | ↑ +4% |
| Coventry/First Health | Commercial | $131.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $150.40 | ↑ +33% |
| Private Health Care Systems | PPO | $159.80 | ↑ +42% |
| Humana | Commercial | $159.80 | ↑ +42% |
| UPMC Health Plan | CHIP | $170.41 | ↑ +51% |
| Multiplan | PPO | $172.96 | ↑ +53% |
| UPMC Health Plan | Commercial | $263.25 | ↑ +133% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Interrog dev eval icpms ip at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $123.60 | $19.20 – $56.81 |
| UPMC Presbyterian | Pittsburgh | $649.80 | $9.05 – $63.90 |
| UPMC Hamot | Erie | $104.40 | $19.02 – $53.82 |
| UPMC Jameson | New Castle | $98.40 | $8.67 – $48.86 |