Liver/spleen imag static only at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,135.20
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.
$1,892.00
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.
$76.19 with UPMC Health Plan vs $1,740.64 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $76.19 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $76.19 | ↓ -93% |
| Aetna | CHIP/Medicaid | $90.04 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $102.71 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $107.82 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $109.60 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $118.03 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $156.16 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $348.82 | ↓ -69% |
| UPMC Health Plan | Managed Medicare | $358.54 | ↓ -68% |
| UPMC Health Plan | Commercial | $382.39 | ↓ -66% |
| UPMC Health Plan | Partners/Select | $392.98 | ↓ -65% |
| Aetna of PA | Medicare | $402.25 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $413.71 | ↓ -64% |
| United Healthcare | Medicare | $413.75 | ↓ -64% |
| AmeriHealth Caritas | Medicare | $413.75 | ↓ -64% |
| Aetna | Medicare | $421.41 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $451.79 | ↓ -60% |
| UPMC Health Plan | CHIP | $479.70 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $523.82 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $605.03 | ↓ -47% |
| Aetna | Neighborhood Network | $681.12 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $701.51 | ↓ -38% |
| Aetna | EBR FI | $737.88 | ↓ -35% |
| Aetna | Home Depot Employer Group | $741.66 | ↓ -35% |
| Aetna | NBR ASO/FI | $756.80 | ↓ -33% |
| Aetna | EBR ASO | $756.80 | ↓ -33% |
| Cigna | New Business ASO | $756.80 | ↓ -33% |
| Cigna | Commercial | $756.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $907.56 | ↓ -20% |
| InterGroup | PPO | $946.00 | ↓ -17% |
| Coventry/First Health | Commercial | $1,324.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,513.60 | ↑ +33% |
| Private Health Care Systems | PPO | $1,608.20 | ↑ +42% |
| Humana | Commercial | $1,608.20 | ↑ +42% |
| Multiplan | PPO | $1,740.64 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Liver/spleen imag static only at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,667.00 | $76.19 – $421.41 |
| UPMC Presbyterian | Pittsburgh | $3,414.00 | $55.80 – $421.41 |
| UPMC St. Margaret | Pittsburgh | $1,060.80 | $76.19 – $421.41 |
| UPMC Altoona | Altoona | $639.00 | $46.50 – $852.00 |
| UPMC Carlisle | Carlisle | $1,228.80 | $60.91 – $1,740.80 |
| UPMC Cole | Coudersport | $674.40 | $72.72 – $899.20 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $60.91 – $1,740.80 |
| UPMC Hamot | Erie | $786.60 | $76.19 – $546.54 |