Lymph vessel x-ray trunk at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,470.80
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.
$4,118.00
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.
$103.40 with UPMC Health Plan vs $3,788.56 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 | $103.40 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $103.40 | ↓ -96% |
| Aetna | CHIP/Medicaid | $122.20 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $139.40 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $146.33 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $148.75 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $160.19 | ↓ -94% |
| UPMC Health Plan | Commercial | $302.48 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $334.50 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $719.04 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $967.76 | ↓ -61% |
| UPMC Health Plan | CHIP | $1,039.14 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,122.04 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $1,296.00 | ↓ -48% |
| Aetna | Neighborhood Network | $1,482.48 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,502.66 | ↓ -39% |
| Aetna | EBR FI | $1,606.02 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,614.26 | ↓ -35% |
| Cigna | New Business ASO | $1,647.20 | ↓ -33% |
| Cigna | Commercial | $1,647.20 | ↓ -33% |
| Aetna | EBR ASO | $1,647.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,647.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $1,944.01 | ↓ -21% |
| InterGroup | PPO | $2,059.00 | ↓ -17% |
| UPMC Health Plan | Managed Medicare | $2,808.41 | ↑ +14% |
| Coventry/First Health | Commercial | $2,882.60 | ↑ +17% |
| UPMC Health Plan | Partners/Select | $3,078.18 | ↑ +25% |
| Aetna of PA | Medicare | $3,150.80 | ↑ +28% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↑ +31% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↑ +31% |
| United Healthcare | Medicare | $3,240.82 | ↑ +31% |
| Preferred Healthcare System | PPO | $3,294.40 | ↑ +33% |
| Aetna | Medicare | $3,300.84 | ↑ +34% |
| Humana | Commercial | $3,500.30 | ↑ +42% |
| Private Health Care Systems | PPO | $3,500.30 | ↑ +42% |
| Multiplan | PPO | $3,788.56 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lymph vessel x-ray trunk at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,551.00 | $103.40 – $3,300.84 |
| UPMC Passavant-McCandless | Pittsburgh | $1,784.40 | $103.40 – $3,300.84 |
| UPMC Presbyterian | Pittsburgh | $2,343.60 | $67.80 – $3,300.84 |
| UPMC Williamsport | Williamsport | $2,704.20 | $72.32 – $3,210.81 |