MRI guid parenchymal tiss ablation at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,145.20
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.
$5,242.00
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.
$694.06 with Aetna vs $4,822.64 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 |
|---|---|---|---|
| Aetna | Medicare | $694.06 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $760.92 | ↓ -76% |
| Aetna | CHIP/Medicaid | $943.56 | ↓ -70% |
| Aetna | Neighborhood Network | $1,887.12 | ↓ -40% |
| Aetna | EBR FI | $2,044.38 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,054.86 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,096.80 | ↓ -33% |
| Aetna | EBR ASO | $2,096.80 | ↓ -33% |
| Cigna | Commercial | $2,096.80 | ↓ -33% |
| Cigna | New Business ASO | $2,096.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,201.42 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,552.38 | ↓ -19% |
| InterGroup | PPO | $2,621.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,621.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $2,623.45 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $2,883.10 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,883.10 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $2,948.11 | ↓ -6% |
| UPMC Health Plan | CHIP | $3,291.06 | ↑ +5% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,418.20 | ↑ +9% |
| Coventry/First Health | Commercial | $3,669.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $4,193.60 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $4,422.18 | ↑ +41% |
| Private Health Care Systems | PPO | $4,455.70 | ↑ +42% |
| Humana | Commercial | $4,455.70 | ↑ +42% |
| Multiplan | PPO | $4,822.64 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
MRI guid parenchymal tiss ablation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,441.00 | $760.92 – $1,695.84 |
| UPMC Presbyterian | Pittsburgh | $6,308.40 | $760.92 – $2,066.02 |
| UPMC Kane | Kane | $1,645.80 | $2,207.33 – $2,423.46 |