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Lower Back (Lumbar Spine) MRI (with and without contrast) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$6,741.00
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.
$11,235.00
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.
$318.66 with UPMC Health Plan vs $10,336.20 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 Medicare | $318.66 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $349.26 | ↓ -95% |
| Aetna of PA | Medicare | $357.50 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $367.72 | ↓ -95% |
| United Healthcare | Medicare | $367.72 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $372.90 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $372.90 | ↓ -94% |
| Aetna | Medicare | $374.53 | ↓ -94% |
| Aetna | CHIP/Medicaid | $440.70 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $502.74 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $527.72 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $536.43 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $577.72 | ↓ -91% |
| UPMC Health Plan | Commercial | $1,104.62 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,214.10 | ↓ -82% |
| Premier Comp Solutions | Worker's Comp | $2,471.52 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $2,610.88 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,512.50 | ↓ -48% |
| UPMC Health Plan | CHIP | $3,794.78 | ↓ -44% |
| Aetna | Neighborhood Network | $4,044.60 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,072.48 | ↓ -40% |
| Aetna | EBR FI | $4,381.65 | ↓ -35% |
| Aetna | Home Depot Employer Group | $4,404.12 | ↓ -35% |
| Aetna | NBR ASO/FI | $4,494.00 | ↓ -33% |
| Cigna | New Business ASO | $4,494.00 | ↓ -33% |
| Cigna | Commercial | $4,494.00 | ↓ -33% |
| Aetna | EBR ASO | $4,494.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $4,703.88 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,453.95 | ↓ -19% |
| InterGroup | PPO | $5,617.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $7,055.86 | ↑ +5% |
| Coventry/First Health | Commercial | $7,864.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $8,988.00 | ↑ +33% |
| Private Health Care Systems | PPO | $9,549.75 | ↑ +42% |
| Humana | Commercial | $9,549.75 | ↑ +42% |
| Multiplan | PPO | $10,336.20 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $316.41 – $8,499.15 |
| UPMC Mercy | Pittsburgh | $6,512.40 | $283.82 – $9,768.60 |
| UPMC Presbyterian | Pittsburgh | $9,808.20 | $322.80 – $13,894.95 |
| UPMC St. Margaret | Pittsburgh | $5,810.40 | $293.97 – $8,231.40 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $2,536.20 | $281.64 – $2,958.90 |
| UPMC Carlisle | Carlisle | $2,713.80 | $338.22 – $3,844.55 |
| UPMC Bedford | Everett | $2,884.20 | $122.85 – $4,326.30 |