MRI fetal sngl/1st gestation at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$794.40
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.
$1,324.00
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.
$178.83 with Highmark BCBS of PA vs $1,218.08 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $178.83 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $215.68 | ↓ -73% |
| UPMC Health Plan | Partners/Select | $236.40 | ↓ -70% |
| Aetna | CHIP/Medicaid | $238.32 | ↓ -70% |
| Aetna of PA | Medicare | $241.97 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -69% |
| United Healthcare | Medicare | $248.89 | ↓ -69% |
| Aetna | Medicare | $253.50 | ↓ -68% |
| Aetna | Neighborhood Network | $476.64 | ↓ -40% |
| Aetna | EBR FI | $516.36 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $517.37 | ↓ -35% |
| Aetna | Home Depot Employer Group | $519.01 | ↓ -35% |
| Cigna | New Business ASO | $529.60 | ↓ -33% |
| Aetna | EBR ASO | $529.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $529.60 | ↓ -33% |
| Cigna | Commercial | $529.60 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $540.92 | ↓ -32% |
| Premier Comp Solutions | Worker's Comp | $569.77 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $599.86 | ↓ -24% |
| InterGroup | PPO | $662.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $692.86 | ↓ -13% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $728.20 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $728.20 | ↓ -8% |
| UPMC Health Plan | Commercial | $742.36 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Indemnity | $803.34 | ↑ +1% |
| Coventry/First Health | Commercial | $926.80 | ↑ +17% |
| UPMC Health Plan | CHIP | $931.28 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,039.29 | ↑ +31% |
| Preferred Healthcare System | PPO | $1,059.20 | ↑ +33% |
| Humana | Commercial | $1,125.40 | ↑ +42% |
| Private Health Care Systems | PPO | $1,125.40 | ↑ +42% |
| Multiplan | PPO | $1,218.08 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI fetal sngl/1st gestation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,656.00 | $127.18 – $2,346.00 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $186.61 – $2,346.00 |
| UPMC Hanover | Hanover | $1,656.00 | $186.61 – $931.28 |
| UPMC Lititz | Lititz | $1,656.00 | $186.61 – $931.28 |
| UPMC Memorial | York | $1,656.00 | $144.38 – $2,013.94 |
| UPMC Somerset | Somerset | $1,656.00 | $163.82 – $540.92 |
| WellSpan Newberry Hospital | Etters | not published | not published |