Lung perfusion imaging at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,152.60
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.
?
What you pay up front if you don't use insurance.
$1,921.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$86.90 with UPMC Health Plan vs $1,767.32 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $86.90 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $86.90 | ↓ -92% |
| Aetna | CHIP/Medicaid | $102.70 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $117.16 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $122.98 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $125.01 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $134.63 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $194.16 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $358.54 | ↓ -69% |
| UPMC Health Plan | Partners/Select | $392.98 | ↓ -66% |
| 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% |
| UPMC Work Partners | Workers Comp | $417.76 | ↓ -64% |
| Aetna | Medicare | $421.41 | ↓ -63% |
| UPMC Health Plan | Commercial | $490.19 | ↓ -57% |
| Highmark BCBS of PA | Managed Care - Social Mission | $561.73 | ↓ -51% |
| UPMC Health Plan | CHIP | $614.94 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $651.28 | ↓ -43% |
| Aetna | Neighborhood Network | $691.56 | ↓ -40% |
| Aetna | EBR FI | $749.19 | ↓ -35% |
| Highmark BCBS of PA | Managed Care | $752.26 | ↓ -35% |
| Aetna | Home Depot Employer Group | $753.03 | ↓ -35% |
| Aetna | NBR ASO/FI | $768.40 | ↓ -33% |
| Aetna | EBR ASO | $768.40 | ↓ -33% |
| Cigna | New Business ASO | $768.40 | ↓ -33% |
| Cigna | Commercial | $768.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $872.21 | ↓ -24% |
| InterGroup | PPO | $960.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,128.39 | ↓ -2% |
| Coventry/First Health | Commercial | $1,344.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,536.80 | ↑ +33% |
| Private Health Care Systems | PPO | $1,632.85 | ↑ +42% |
| Humana | Commercial | $1,632.85 | ↑ +42% |
| Multiplan | PPO | $1,767.32 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lung perfusion imaging at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,087.20 | $86.90 – $424.84 |
| UPMC Passavant-McCandless | Pittsburgh | $1,322.40 | $86.90 – $485.77 |
| UPMC Presbyterian | Pittsburgh | $2,067.00 | $57.00 – $494.00 |
| UPMC St. Margaret | Pittsburgh | $621.00 | $86.90 – $421.41 |
| UPMC Altoona | Altoona | $456.60 | $47.50 – $608.80 |
| UPMC Bedford | Everett | $516.60 | $82.95 – $774.90 |
| UPMC Carlisle | Carlisle | $1,228.80 | $62.23 – $1,740.80 |
| UPMC Cole | Coudersport | $801.60 | $82.95 – $1,068.80 |