M/phmtrc alys ishquant/semiq at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$100.20
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.
$167.00
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.
$24.94 with Highmark BCBS of PA vs $112.03 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $24.94 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $39.64 | ↓ -60% |
| UPMC Health Plan | CHIP | $42.35 | ↓ -58% |
| Aetna | Neighborhood Network | $43.56 | ↓ -57% |
| Aetna | EBR FI | $47.19 | ↓ -53% |
| Aetna | Home Depot Employer Group | $47.43 | ↓ -53% |
| Aetna | EBR ASO | $48.40 | ↓ -52% |
| Aetna | NBR ASO/FI | $48.40 | ↓ -52% |
| Cigna | Commercial | $48.40 | ↓ -52% |
| Cigna | New Business ASO | $48.40 | ↓ -52% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $50.40 | ↓ -50% |
| UPMC Health Plan | Managed Medicaid | $50.40 | ↓ -50% |
| UPMC Health Plan | Commercial | $52.63 | ↓ -47% |
| Highmark BCBS of PA | Managed Care | $53.09 | ↓ -47% |
| Aetna | CHIP/Medicaid | $59.57 | ↓ -41% |
| Aetna | Medicare | $59.85 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $60.50 | ↓ -40% |
| InterGroup | PPO | $60.50 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicaid | $67.95 | ↓ -32% |
| Geisinger | Medicaid/CHIP | $71.33 | ↓ -29% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $72.51 | ↓ -28% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $78.09 | ↓ -22% |
| UPMC Work Partners | Workers Comp | $78.53 | ↓ -22% |
| Highmark BCBS of PA | UPMC Emergent | $79.64 | ↓ -21% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $83.65 | ↓ -17% |
| Coventry/First Health | Commercial | $84.70 | ↓ -15% |
| Preferred Healthcare System | PPO | $96.80 | ↓ -3% |
| Humana | Commercial | $102.85 | ↑ +3% |
| Private Health Care Systems | PPO | $102.85 | ↑ +3% |
| Multiplan | PPO | $111.32 | ↑ +11% |
| Highmark BCBS of PA | Commercial - Indemnity | $112.03 | ↑ +12% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $91.80 | $24.70 – $88.82 |
| UPMC Passavant-McCandless | Pittsburgh | $108.00 | $24.94 – $91.31 |
| UPMC Presbyterian | Pittsburgh | $198.60 | $24.94 – $103.28 |
| UPMC Altoona | Altoona | $123.00 | $24.70 – $164.00 |
| UPMC Bedford | Everett | $155.40 | $45.82 – $233.10 |
| UPMC Carlisle | Carlisle | $177.00 | $38.32 – $250.75 |
| UPMC Cole | Coudersport | $474.60 | $48.11 – $632.80 |
| UPMC Community Osteopathic | Harrisburg | $177.00 | $38.32 – $250.75 |