Intracranial complete study at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$889.20
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.
$1,482.00
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.
$169.39 with Highmark BCBS of PA vs $1,363.44 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $169.39 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $180.66 | ↓ -80% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $180.66 | ↓ -80% |
| Aetna | CHIP/Medicaid | $213.51 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $215.68 | ↓ -76% |
| UPMC Health Plan | Partners/Select | $236.40 | ↓ -73% |
| Aetna of PA | Medicare | $241.97 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $243.57 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -72% |
| United Healthcare | Medicare | $248.89 | ↓ -72% |
| Aetna | Medicare | $253.50 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $255.67 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $259.89 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $279.90 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $493.75 | ↓ -44% |
| Highmark BCBS of PA | Managed Care - Social Mission | $516.96 | ↓ -42% |
| UPMC Health Plan | CHIP | $526.68 | ↓ -41% |
| Aetna | Neighborhood Network | $533.52 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $568.20 | ↓ -36% |
| Aetna | EBR FI | $577.98 | ↓ -35% |
| Aetna | Home Depot Employer Group | $580.94 | ↓ -35% |
| Aetna | NBR ASO/FI | $592.80 | ↓ -33% |
| Aetna | EBR ASO | $592.80 | ↓ -33% |
| Cigna | New Business ASO | $592.80 | ↓ -33% |
| Cigna | Commercial | $592.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $692.32 | ↓ -22% |
| InterGroup | PPO | $741.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $760.94 | ↓ -14% |
| UPMC Health Plan | Commercial | $813.64 | ↓ -8% |
| Coventry/First Health | Commercial | $1,037.40 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,038.48 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,185.60 | ↑ +33% |
| Private Health Care Systems | PPO | $1,259.70 | ↑ +42% |
| Humana | Commercial | $1,259.70 | ↑ +42% |
| Multiplan | PPO | $1,363.44 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Intracranial complete study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,169.40 | $169.39 – $574.13 |
| UPMC Altoona | Altoona | $769.80 | $119.34 – $1,026.40 |
| UPMC Community Osteopathic | Harrisburg | $481.20 | $151.56 – $1,049.13 |
| UPMC Hamot | Erie | $1,173.60 | $167.79 – $493.75 |
| UPMC Muncy | Muncy | $1,981.20 | $152.76 – $528.20 |
| UPMC Somerset | Somerset | $481.20 | $131.27 – $306.13 |