Mopath procedure level 6 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$8,440.80
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.
$14,068.00
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.
$42.30 with Aetna vs $4,043.26 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $42.30 | ↓ -99% |
| Aetna | Neighborhood Network | $84.60 | ↓ -99% |
| Aetna | EBR FI | $91.65 | ↓ -99% |
| Aetna | Home Depot Employer Group | $92.12 | ↓ -99% |
| Aetna | NBR ASO/FI | $94.00 | ↓ -99% |
| Aetna | EBR ASO | $94.00 | ↓ -99% |
| Cigna | Commercial | $94.00 | ↓ -99% |
| Cigna | New Business ASO | $94.00 | ↓ -99% |
| InterGroup | PPO | $117.50 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $129.25 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $129.25 | ↓ -98% |
| Coventry/First Health | Commercial | $164.50 | ↓ -98% |
| Preferred Healthcare System | PPO | $188.00 | ↓ -98% |
| Humana | Commercial | $199.75 | ↓ -98% |
| Private Health Care Systems | PPO | $199.75 | ↓ -98% |
| Multiplan | PPO | $216.20 | ↓ -97% |
| UPMC Health Plan | Commercial | $268.10 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $282.03 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $297.84 | ↓ -96% |
| UPMC Health Plan | Partners/Select | $309.12 | ↓ -96% |
| Aetna of PA | Medicare | $316.42 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $325.43 | ↓ -96% |
| United Healthcare | Medicare | $325.46 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $325.46 | ↓ -96% |
| Aetna | Medicare | $331.49 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $900.06 | ↓ -89% |
| UPMC Health Plan | CHIP | $921.03 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,430.70 | ↓ -83% |
| Highmark BCBS of PA | Managed Care | $1,916.11 | ↓ -77% |
| Highmark BCBS of PA | UPMC Emergent | $2,874.16 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,019.11 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,043.26 | ↓ -52% |
Visitor-reported prices
Comments
Mopath procedure level 6 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $5,299.80 | $251.21 – $891.57 |
| UPMC Passavant-McCandless | Pittsburgh | $9,041.40 | $255.60 – $900.06 |
| UPMC Presbyterian | Pittsburgh | $5,851.80 | $220.58 – $900.06 |
| UPMC St. Margaret | Pittsburgh | $5,299.80 | $256.23 – $900.06 |
| UPMC Altoona | Altoona | $8,542.20 | $119.50 – $891.57 |
| UPMC Bedford | Everett | $1,687.80 | $108.73 – $1,787.40 |
| UPMC Cole | Coudersport | $2,264.40 | $53.00 – $3,019.20 |
| UPMC East | Monroeville | $5,299.80 | $253.37 – $900.06 |