Mopath procedure level 8 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,608.40
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.
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What you pay up front if you don't use insurance.
$6,014.00
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.
$126.00 with Aetna vs $8,606.37 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 | $126.00 | ↓ -97% |
| Aetna | Neighborhood Network | $252.00 | ↓ -93% |
| Aetna | EBR FI | $273.00 | ↓ -92% |
| Aetna | Home Depot Employer Group | $274.40 | ↓ -92% |
| Aetna | NBR ASO/FI | $280.00 | ↓ -92% |
| Aetna | EBR ASO | $280.00 | ↓ -92% |
| Cigna | Commercial | $280.00 | ↓ -92% |
| Cigna | New Business ASO | $280.00 | ↓ -92% |
| InterGroup | PPO | $350.00 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $385.00 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $385.00 | ↓ -89% |
| Coventry/First Health | Commercial | $490.00 | ↓ -86% |
| Preferred Healthcare System | PPO | $560.00 | ↓ -84% |
| Private Health Care Systems | PPO | $595.00 | ↓ -84% |
| Humana | Commercial | $595.00 | ↓ -84% |
| Multiplan | PPO | $644.00 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $792.02 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $836.39 | ↓ -77% |
| UPMC Health Plan | Partners/Select | $868.10 | ↓ -76% |
| UPMC Health Plan | Commercial | $879.28 | ↓ -76% |
| Aetna of PA | Medicare | $888.58 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $913.89 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $913.97 | ↓ -75% |
| United Healthcare | Medicare | $913.97 | ↓ -75% |
| Aetna | Medicare | $930.90 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,915.85 | ↓ -47% |
| UPMC Health Plan | CHIP | $3,020.64 | ↓ -16% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,045.35 | ↓ -16% |
| Highmark BCBS of PA | Managed Care | $4,078.57 | ↑ +13% |
| Highmark BCBS of PA | UPMC Emergent | $6,117.86 | ↑ +70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,426.39 | ↑ +78% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,606.37 | ↑ +139% |
Visitor-reported prices
Comments
Mopath procedure level 8 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,687.80 | $705.45 – $1,897.78 |
| UPMC Passavant-McCandless | Pittsburgh | $3,400.80 | $786.44 – $1,915.85 |
| UPMC Presbyterian | Pittsburgh | $1,687.80 | $619.46 – $1,915.85 |
| UPMC St. Margaret | Pittsburgh | $1,687.80 | $730.67 – $1,915.85 |
| UPMC Altoona | Altoona | $1,672.20 | $357.00 – $1,897.78 |
| UPMC Bedford | Everett | $1,687.80 | $305.33 – $2,098.80 |
| UPMC East | Monroeville | $1,687.80 | $332.31 – $1,915.85 |
| UPMC Hamot | Erie | $3,643.80 | $836.39 – $1,897.78 |