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Leg Vein Ultrasound (DVT study, both legs) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,019.40
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.
$1,699.00
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.
$159.46 with Highmark BCBS of PA vs $1,563.08 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $159.46 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $161.33 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $161.33 | ↓ -84% |
| Aetna | CHIP/Medicaid | $190.66 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $215.68 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $217.50 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $228.31 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $232.07 | ↓ -77% |
| UPMC Health Plan | Partners/Select | $236.40 | ↓ -77% |
| Aetna of PA | Medicare | $241.97 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -76% |
| United Healthcare | Medicare | $248.89 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $249.94 | ↓ -75% |
| Aetna | Medicare | $253.50 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $460.85 | ↓ -55% |
| UPMC Health Plan | CHIP | $479.25 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $486.66 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $534.90 | ↓ -48% |
| Aetna | Neighborhood Network | $611.64 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $651.75 | ↓ -36% |
| Aetna | EBR FI | $662.61 | ↓ -35% |
| Aetna | Home Depot Employer Group | $666.01 | ↓ -35% |
| Aetna | NBR ASO/FI | $679.60 | ↓ -33% |
| Cigna | New Business ASO | $679.60 | ↓ -33% |
| Cigna | Commercial | $679.60 | ↓ -33% |
| Aetna | EBR ASO | $679.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $716.35 | ↓ -30% |
| UPMC Health Plan | Commercial | $740.36 | ↓ -27% |
| InterGroup | PPO | $849.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $977.62 | ↓ -4% |
| Coventry/First Health | Commercial | $1,189.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,359.20 | ↑ +33% |
| Private Health Care Systems | PPO | $1,444.15 | ↑ +42% |
| Humana | Commercial | $1,444.15 | ↑ +42% |
| Multiplan | PPO | $1,563.08 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Leg Vein Ultrasound (DVT study, both legs) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,092.20 | $159.46 – $2,963.95 |
| UPMC Mercy | Pittsburgh | $1,214.40 | $157.96 – $1,821.60 |
| UPMC Presbyterian | Pittsburgh | $2,286.00 | $137.04 – $3,238.50 |
| UPMC St. Margaret | Pittsburgh | $985.80 | $159.46 – $1,396.55 |
| UPMC East | Monroeville | $817.80 | $159.46 – $1,090.40 |
| UPMC Hamot | Erie | $1,021.80 | $84.33 – $1,192.10 |
| UPMC Carlisle | Carlisle | $819.60 | $149.60 – $1,161.10 |
| UPMC Altoona | Altoona | $1,053.00 | $114.20 – $1,404.00 |