M/phmtrc alys ishquant/semiq at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$594.00
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.
?
What you pay up front if you don't use insurance.
$990.00
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.
$94.07 with Highmark BCBS of PA vs $720.36 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $94.07 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $149.53 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $152.90 | ↓ -74% |
| UPMC Health Plan | Partners/Select | $167.58 | ↓ -72% |
| Aetna of PA | Medicare | $171.54 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↓ -70% |
| United Healthcare | Medicare | $176.44 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $176.44 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $177.96 | ↓ -70% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $177.96 | ↓ -70% |
| Aetna | Medicare | $179.71 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $200.26 | ↓ -66% |
| Aetna | CHIP/Medicaid | $210.31 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $239.92 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $251.84 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $256.00 | ↓ -57% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $275.71 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $279.34 | ↓ -53% |
| Aetna | Neighborhood Network | $281.88 | ↓ -53% |
| Highmark BCBS of PA | UPMC Emergent | $300.39 | ↓ -49% |
| Aetna | EBR FI | $305.37 | ↓ -49% |
| Aetna | Home Depot Employer Group | $306.94 | ↓ -48% |
| Aetna | EBR ASO | $313.20 | ↓ -47% |
| Cigna | New Business ASO | $313.20 | ↓ -47% |
| Aetna | NBR ASO/FI | $313.20 | ↓ -47% |
| Cigna | Commercial | $313.20 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $315.54 | ↓ -47% |
| UPMC Health Plan | Commercial | $359.06 | ↓ -40% |
| InterGroup | PPO | $391.50 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Indemnity | $422.58 | ↓ -29% |
| Coventry/First Health | Commercial | $548.10 | ↓ -8% |
| Preferred Healthcare System | PPO | $626.40 | ↑ +5% |
| UPMC Health Plan | CHIP | $656.49 | ↑ +11% |
| Private Health Care Systems | PPO | $665.55 | ↑ +12% |
| Humana | Commercial | $665.55 | ↑ +12% |
| Multiplan | PPO | $720.36 | ↑ +21% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $507.60 | $93.18 – $316.64 |
| UPMC Passavant-McCandless | Pittsburgh | $559.80 | $94.07 – $324.81 |
| UPMC Presbyterian | Pittsburgh | $591.00 | $94.07 – $368.19 |
| UPMC Altoona | Altoona | $463.20 | $93.18 – $617.60 |
| UPMC Carlisle | Carlisle | $337.20 | $76.99 – $477.70 |
| UPMC Cole | Coudersport | $1,052.40 | $53.00 – $1,403.20 |
| UPMC Community Osteopathic | Harrisburg | $337.20 | $112.40 – $656.49 |
| UPMC East | Monroeville | $370.20 | $94.07 – $493.60 |