Intrvasc Ultrasound noncoronary addl vessel at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,559.40
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.
$7,599.00
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.
$82.22 with Aetna vs $6,991.08 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 |
|---|---|---|---|
| Aetna | Medicare | $82.22 | ↓ -98% |
| UPMC Health Plan | Commercial | $92.78 | ↓ -98% |
| UPMC Health Plan | CHIP | $102.20 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $148.32 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $281.37 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $429.10 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $497.51 | ↓ -89% |
| Highmark BCBS of PA | Managed Care | $574.64 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Indemnity | $666.28 | ↓ -85% |
| Highmark BCBS of PA | UPMC Emergent | $861.97 | ↓ -81% |
| Aetna | CHIP/Medicaid | $1,367.82 | ↓ -70% |
| Aetna | Neighborhood Network | $2,735.64 | ↓ -40% |
| Aetna | EBR FI | $2,963.61 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,978.81 | ↓ -35% |
| Cigna | New Business ASO | $3,039.60 | ↓ -33% |
| Aetna | EBR ASO | $3,039.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $3,039.60 | ↓ -33% |
| Cigna | Commercial | $3,039.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,799.50 | ↓ -17% |
| InterGroup | PPO | $3,799.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,179.45 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $4,179.45 | ↓ -8% |
| Coventry/First Health | Commercial | $5,319.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $6,079.20 | ↑ +33% |
| Private Health Care Systems | PPO | $6,459.15 | ↑ +42% |
| Humana | Commercial | $6,459.15 | ↑ +42% |
| Multiplan | PPO | $6,991.08 | ↑ +53% |
Visitor-reported prices
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Intrvasc Ultrasound noncoronary addl vessel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,632.40 | $56.49 – $320.67 |
| UPMC Presbyterian | Pittsburgh | $4,011.60 | $51.10 – $372.87 |
| UPMC St. Margaret | Pittsburgh | $4,497.00 | $59.04 – $281.37 |
| UPMC Carlisle | Carlisle | $5,288.40 | $55.78 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $5,288.40 | $55.78 – $7,491.90 |
| UPMC East | Monroeville | $1,328.40 | $58.38 – $1,771.20 |
| UPMC Hamot | Erie | $4,063.80 | $126.88 – $281.37 |
| UPMC Hanover | Hanover | $5,288.40 | $55.78 – $294.46 |