Mopath procedure level 3 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,046.60
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.
?
What you pay up front if you don't use insurance.
$3,411.00
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.
$106.05 with UPMC Health Plan vs $1,415.16 with Highmark BCBS of PA — 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 | Commercial | $106.05 | ↓ -95% |
| Aetna | CHIP/Medicaid | $124.92 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $140.69 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $148.57 | ↓ -93% |
| UPMC Health Plan | Partners/Select | $154.21 | ↓ -92% |
| Aetna of PA | Medicare | $157.85 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $162.34 | ↓ -92% |
| United Healthcare | Medicare | $162.36 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $162.36 | ↓ -92% |
| Aetna | Medicare | $165.36 | ↓ -92% |
| Aetna | Neighborhood Network | $249.84 | ↓ -88% |
| Aetna | EBR FI | $270.66 | ↓ -87% |
| Aetna | Home Depot Employer Group | $272.05 | ↓ -87% |
| Cigna | New Business ASO | $277.60 | ↓ -86% |
| Aetna | EBR ASO | $277.60 | ↓ -86% |
| Aetna | NBR ASO/FI | $277.60 | ↓ -86% |
| Cigna | Commercial | $277.60 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $315.03 | ↓ -85% |
| InterGroup | PPO | $347.00 | ↓ -83% |
| UPMC Health Plan | CHIP | $364.34 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $381.70 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $381.70 | ↓ -81% |
| Coventry/First Health | Commercial | $485.80 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $500.75 | ↓ -76% |
| Preferred Healthcare System | PPO | $555.20 | ↓ -73% |
| Humana | Commercial | $589.90 | ↓ -71% |
| Private Health Care Systems | PPO | $589.90 | ↓ -71% |
| Multiplan | PPO | $638.48 | ↓ -69% |
| Highmark BCBS of PA | Managed Care | $670.65 | ↓ -67% |
| Highmark BCBS of PA | UPMC Emergent | $1,005.97 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,056.70 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,415.16 | ↓ -31% |
Visitor-reported prices
Comments
Mopath procedure level 3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,046.60 | $100.52 – $312.06 |
| UPMC Passavant-McCandless | Pittsburgh | $2,169.60 | $101.11 – $315.03 |
| UPMC Presbyterian | Pittsburgh | $2,046.60 | $106.69 – $315.03 |
| UPMC St. Margaret | Pittsburgh | $2,046.60 | $101.36 – $315.03 |
| UPMC Altoona | Altoona | $1,780.80 | $148.57 – $504.80 |
| UPMC Bedford | Everett | $1,366.20 | $54.24 – $1,841.40 |
| UPMC Cole | Coudersport | $828.60 | $53.00 – $1,104.80 |
| UPMC East | Monroeville | $1,699.20 | $100.22 – $624.00 |