MRI breast w IV cont bi at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$6,741.00
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.
$11,235.00
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.
$169.13 with Highmark BCBS of PA vs $10,336.20 with Multiplan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $169.13 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $343.23 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $343.23 | ↓ -95% |
| Aetna | Medicare | $349.38 | ↓ -95% |
| Aetna | CHIP/Medicaid | $405.64 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $462.74 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $472.50 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $485.74 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $489.31 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $493.76 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $531.76 | ↓ -92% |
| UPMC Health Plan | Commercial | $560.50 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $567.31 | ↓ -92% |
| Highmark BCBS of PA | Managed Care | $655.27 | ↓ -90% |
| UPMC Health Plan | CHIP | $703.14 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity | $759.76 | ↓ -89% |
| Highmark BCBS of PA | UPMC Emergent | $982.91 | ↓ -85% |
| Aetna | Neighborhood Network | $4,044.60 | ↓ -40% |
| Aetna | EBR FI | $4,381.65 | ↓ -35% |
| Aetna | Home Depot Employer Group | $4,404.12 | ↓ -35% |
| Cigna | New Business ASO | $4,494.00 | ↓ -33% |
| Aetna | EBR ASO | $4,494.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $4,494.00 | ↓ -33% |
| Cigna | Commercial | $4,494.00 | ↓ -33% |
| InterGroup | PPO | $5,617.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,617.50 | ↓ -17% |
| Coventry/First Health | Commercial | $7,864.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $8,988.00 | ↑ +33% |
| Humana | Commercial | $9,549.75 | ↑ +42% |
| Private Health Care Systems | PPO | $9,549.75 | ↑ +42% |
| Multiplan | PPO | $10,336.20 | ↑ +53% |
Visitor-reported prices
Comments
MRI breast w IV cont bi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $169.13 – $549.42 |
| UPMC Cole | Coudersport | $2,153.40 | $327.63 – $2,871.20 |
| UPMC Kane | Kane | $1,314.00 | $343.23 – $1,024.66 |
| WellSpan Chambersburg Hospital | Chambersburg | $705.34 | $214.39 – $1,381.96 |
| WellSpan Ephrata Community Hospital | Ephrata | $705.34 | $274.33 – $1,381.96 |
| WellSpan Evangelical Community Hospital | Lewisburg | $705.34 | $231.54 – $1,532.33 |
| WellSpan Good Samaritan Hospital | Lebanon | $705.34 | $352.78 – $1,381.96 |
| WellSpan Gettysburg Hospital | Gettysburg | $705.34 | $274.33 – $1,381.96 |