Mayo factor xi at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$125.40
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.
$209.00
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.
$13.20 with United Healthcare Community Plan for Families vs $192.28 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $13.20 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $13.20 | ↓ -89% |
| Aetna | CHIP/Medicaid | $15.60 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $16.75 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $17.69 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.80 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $18.36 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $18.68 | ↓ -85% |
| Aetna of PA | Medicare | $18.80 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.99 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.33 | ↓ -85% |
| United Healthcare | Medicare | $19.33 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $19.33 | ↓ -85% |
| Aetna | Medicare | $19.69 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20.45 | ↓ -84% |
| UPMC Health Plan | Commercial | $29.93 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $39.03 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $62.04 | ↓ -51% |
| Aetna | Neighborhood Network | $75.24 | ↓ -40% |
| Aetna | EBR FI | $81.51 | ↓ -35% |
| Aetna | Home Depot Employer Group | $81.93 | ↓ -35% |
| Highmark BCBS of PA | Managed Care | $83.09 | ↓ -34% |
| Aetna | EBR ASO | $83.60 | ↓ -33% |
| Cigna | Commercial | $83.60 | ↓ -33% |
| Cigna | New Business ASO | $83.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $83.60 | ↓ -33% |
| UPMC Health Plan | CHIP | $102.82 | ↓ -18% |
| InterGroup | PPO | $104.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $124.64 | ↓ -1% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $130.92 | ↑ +4% |
| Coventry/First Health | Commercial | $146.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $167.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $175.34 | ↑ +40% |
| Humana | Commercial | $177.65 | ↑ +42% |
| Private Health Care Systems | PPO | $177.65 | ↑ +42% |
| Multiplan | PPO | $192.28 | ↑ +53% |
Visitor-reported prices
Comments
Mayo factor xi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $150.60 | $13.20 – $38.66 |
| UPMC Passavant-McCandless | Pittsburgh | $201.00 | $13.20 – $39.03 |
| UPMC St. Margaret | Pittsburgh | $303.00 | $13.20 – $39.03 |
| UPMC Altoona | Altoona | $338.40 | $12.00 – $451.20 |
| UPMC Bedford | Everett | $85.80 | $6.46 – $128.70 |
| UPMC Carlisle | Carlisle | $91.20 | $12.00 – $129.20 |
| UPMC Community Osteopathic | Harrisburg | $91.20 | $12.00 – $102.82 |
| UPMC East | Monroeville | $299.40 | $12.00 – $399.20 |