MRI guid ndl plc s&i at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,958.60
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.
$4,931.00
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.
$283.34 with United Healthcare Community Plan for Families vs $4,536.52 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $283.34 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $283.34 | ↓ -90% |
| Aetna | CHIP/Medicaid | $334.85 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $381.99 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $400.97 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $407.59 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $438.97 | ↓ -85% |
| Aetna | Medicare | $461.96 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $471.60 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $717.47 | ↓ -76% |
| UPMC Health Plan | Commercial | $1,156.22 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,364.39 | ↓ -54% |
| UPMC Health Plan | CHIP | $1,450.46 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,581.91 | ↓ -47% |
| Aetna | Neighborhood Network | $1,775.16 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $1,827.17 | ↓ -38% |
| Aetna | EBR FI | $1,923.09 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,932.95 | ↓ -35% |
| Cigna | New Business ASO | $1,972.40 | ↓ -33% |
| Cigna | Commercial | $1,972.40 | ↓ -33% |
| Aetna | EBR ASO | $1,972.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,972.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,118.53 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,465.50 | ↓ -17% |
| InterGroup | PPO | $2,465.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $2,740.77 | ↓ -7% |
| Coventry/First Health | Commercial | $3,451.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,944.80 | ↑ +33% |
| Private Health Care Systems | PPO | $4,191.35 | ↑ +42% |
| Humana | Commercial | $4,191.35 | ↑ +42% |
| Multiplan | PPO | $4,536.52 | ↑ +53% |
Visitor-reported prices
Comments
MRI guid ndl plc s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,431.00 | $263.39 – $2,027.25 |
| UPMC Cole | Coudersport | $1,377.60 | $270.46 – $1,836.80 |
| UPMC Community Osteopathic | Harrisburg | $1,431.00 | $263.39 – $2,053.89 |
| UPMC Hanover | Hanover | $1,431.00 | $263.39 – $750.84 |
| UPMC Lititz | Lititz | $1,431.00 | $263.39 – $750.84 |
| UPMC Memorial | York | $1,431.00 | $263.39 – $2,260.21 |
| UPMC Somerset | Somerset | $1,431.00 | $231.22 – $717.47 |