MRI cardiac morph & func wwo IV cont w/stress img at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$6,359.40
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.
$10,599.00
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.
$501.71 with UPMC Health Plan vs $9,751.08 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $501.71 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $557.52 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $557.52 | ↓ -91% |
| Aetna | CHIP/Medicaid | $658.89 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $704.95 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $751.64 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $772.66 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $789.00 | ↓ -88% |
| Aetna of PA | Medicare | $790.89 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $802.02 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $813.41 | ↓ -87% |
| United Healthcare | Medicare | $813.49 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $813.49 | ↓ -87% |
| Aetna | Medicare | $828.55 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $863.76 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $902.63 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $1,027.75 | ↓ -84% |
| Premier Comp Solutions | Worker's Comp | $1,140.30 | ↓ -82% |
| UPMC Health Plan | CHIP | $1,723.57 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,611.41 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,027.73 | ↓ -52% |
| Highmark BCBS of PA | Managed Care | $3,497.16 | ↓ -45% |
| Aetna | Neighborhood Network | $3,815.64 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,054.81 | ↓ -36% |
| Aetna | EBR FI | $4,133.61 | ↓ -35% |
| Aetna | Home Depot Employer Group | $4,154.81 | ↓ -35% |
| Cigna | Commercial | $4,239.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $4,239.60 | ↓ -33% |
| Cigna | New Business ASO | $4,239.60 | ↓ -33% |
| Aetna | EBR ASO | $4,239.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $5,245.76 | ↓ -18% |
| InterGroup | PPO | $5,299.50 | ↓ -17% |
| Coventry/First Health | Commercial | $7,419.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $8,479.20 | ↑ +33% |
| Private Health Care Systems | PPO | $9,009.15 | ↑ +42% |
| Humana | Commercial | $9,009.15 | ↑ +42% |
| Multiplan | PPO | $9,751.08 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI cardiac morph & func wwo IV cont w/stress img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,311.20 | $478.32 – $1,195.06 |
| UPMC Presbyterian | Pittsburgh | $8,173.20 | $461.78 – $1,425.38 |
| UPMC Altoona | Altoona | $5,547.60 | $384.82 – $7,396.80 |
| UPMC Carlisle | Carlisle | $4,837.20 | $504.11 – $6,852.70 |
| UPMC Community Osteopathic | Harrisburg | $4,837.20 | $504.11 – $6,852.70 |
| UPMC Hamot | Erie | $5,154.60 | $557.52 – $1,027.75 |
| UPMC Hanover | Hanover | $4,837.20 | $504.11 – $1,207.58 |
| UPMC Lititz | Lititz | $4,837.20 | $504.11 – $1,214.11 |