Lymphatics/lymph node imaging at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,029.60
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.
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What you pay up front if you don't use insurance.
$1,716.00
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.
$198.00 with UPMC Health Plan vs $1,578.72 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 | $198.00 | ↓ -81% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $198.00 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $217.28 | ↓ -79% |
| Aetna | CHIP/Medicaid | $234.00 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $266.94 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $280.21 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $284.83 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $306.76 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $462.57 | ↓ -55% |
| UPMC Health Plan | Managed Medicare | $480.29 | ↓ -53% |
| UPMC Health Plan | Partners/Select | $526.42 | ↓ -49% |
| UPMC Health Plan | Commercial | $534.74 | ↓ -48% |
| Aetna of PA | Medicare | $538.84 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $554.18 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $554.23 | ↓ -46% |
| United Healthcare | Medicare | $554.23 | ↓ -46% |
| Aetna | Medicare | $564.50 | ↓ -45% |
| Aetna | Neighborhood Network | $617.76 | ↓ -40% |
| Highmark BCBS of PA | Managed Care - Social Mission | $628.61 | ↓ -39% |
| Aetna | EBR FI | $669.24 | ↓ -35% |
| UPMC Health Plan | CHIP | $670.82 | ↓ -35% |
| Aetna | Home Depot Employer Group | $672.67 | ↓ -35% |
| Cigna | Commercial | $686.40 | ↓ -33% |
| Aetna | EBR ASO | $686.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $686.40 | ↓ -33% |
| Cigna | New Business ASO | $686.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $728.83 | ↓ -29% |
| Highmark BCBS of PA | Managed Care | $841.83 | ↓ -18% |
| InterGroup | PPO | $858.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $976.06 | ↓ -5% |
| Coventry/First Health | Commercial | $1,201.20 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,262.75 | ↑ +23% |
| Preferred Healthcare System | PPO | $1,372.80 | ↑ +33% |
| Private Health Care Systems | PPO | $1,458.60 | ↑ +42% |
| Humana | Commercial | $1,458.60 | ↑ +42% |
| Multiplan | PPO | $1,578.72 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lymphatics/lymph node imaging at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $6,783.00 | $198.00 – $564.50 |
| UPMC Presbyterian | Pittsburgh | $6,265.20 | $156.00 – $564.50 |
| UPMC St. Margaret | Pittsburgh | $2,635.80 | $198.00 – $564.50 |
| UPMC Altoona | Altoona | $769.20 | $130.00 – $1,025.60 |
| UPMC Carlisle | Carlisle | $1,574.40 | $170.30 – $2,230.40 |
| UPMC Cole | Coudersport | $1,177.80 | $189.00 – $1,570.40 |
| UPMC Community Osteopathic | Harrisburg | $1,574.40 | $170.30 – $2,230.40 |
| UPMC East | Monroeville | $1,978.20 | $198.00 – $2,637.60 |