Mopath procedure level 9 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$10,515.00
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.
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What you pay up front if you don't use insurance.
$17,525.00
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.
$19.26 with Aetna vs $11,552.18 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 | $19.26 | ↓ -100% |
| Aetna | Neighborhood Network | $38.52 | ↓ -100% |
| Aetna | EBR FI | $41.73 | ↓ -100% |
| Aetna | Home Depot Employer Group | $41.94 | ↓ -100% |
| Aetna | NBR ASO/FI | $42.80 | ↓ -100% |
| Aetna | EBR ASO | $42.80 | ↓ -100% |
| Cigna | Commercial | $42.80 | ↓ -100% |
| Cigna | New Business ASO | $42.80 | ↓ -100% |
| InterGroup | PPO | $53.50 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $58.85 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $58.85 | ↓ -99% |
| Coventry/First Health | Commercial | $74.90 | ↓ -99% |
| Preferred Healthcare System | PPO | $85.60 | ↓ -99% |
| Private Health Care Systems | PPO | $90.95 | ↓ -99% |
| Humana | Commercial | $90.95 | ↓ -99% |
| Multiplan | PPO | $98.44 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $1,871.80 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $1,976.64 | ↓ -81% |
| UPMC Health Plan | Partners/Select | $2,051.60 | ↓ -80% |
| Aetna of PA | Medicare | $2,100.00 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,159.80 | ↓ -79% |
| United Healthcare | Medicare | $2,160.00 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $2,160.00 | ↓ -79% |
| Aetna | Medicare | $2,200.00 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,571.61 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,087.72 | ↓ -61% |
| Highmark BCBS of PA | Managed Care | $5,474.59 | ↓ -48% |
| UPMC Health Plan | Commercial | $5,707.41 | ↓ -46% |
| Highmark BCBS of PA | UPMC Emergent | $8,211.89 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $8,626.03 | ↓ -18% |
| UPMC Health Plan | CHIP | $10,435.04 | ↓ -1% |
| Highmark BCBS of PA | Commercial - Indemnity | $11,552.18 | ↑ +10% |
Visitor-reported prices
Comments
Mopath procedure level 9 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,947.00 | $1,667.20 – $2,547.36 |
| UPMC Passavant-McCandless | Pittsburgh | $4,422.60 | $1,858.60 – $2,571.61 |
| UPMC Presbyterian | Pittsburgh | $4,171.80 | $1,464.00 – $5,748.40 |
| UPMC St. Margaret | Pittsburgh | $1,947.00 | $1,726.80 – $2,571.61 |
| UPMC Altoona | Altoona | $8,734.20 | $268.50 – $2,547.36 |
| UPMC East | Monroeville | $369.60 | $203.28 – $2,571.61 |
| UPMC Hamot | Erie | $8,462.40 | $1,976.64 – $2,547.36 |
| UPMC Northwest | Seneca | $3,327.60 | $1,813.80 – $2,160.00 |