Nerobehav stas exam by psy/md f2f 1st hr at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,147.20
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.
$1,912.00
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.
$75.59 with UPMC Health Plan vs $1,759.04 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 | Managed Medicaid | $75.59 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $75.59 | ↓ -93% |
| Aetna | CHIP/Medicaid | $89.34 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $101.91 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $106.98 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $108.74 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $117.11 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $175.12 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $195.83 | ↓ -83% |
| UPMC Health Plan | CHIP | $231.90 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $277.85 | ↓ -76% |
| UPMC Health Plan | Partners/Select | $304.54 | ↓ -73% |
| Aetna of PA | Medicare | $311.72 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↓ -72% |
| United Healthcare | Medicare | $320.63 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $320.63 | ↓ -72% |
| Aetna | Medicare | $326.57 | ↓ -72% |
| UPMC Health Plan | Commercial | $358.24 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $597.65 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $656.88 | ↓ -43% |
| Aetna | Neighborhood Network | $688.32 | ↓ -40% |
| Aetna | EBR FI | $745.68 | ↓ -35% |
| Aetna | Home Depot Employer Group | $749.50 | ↓ -35% |
| Cigna | New Business ASO | $764.80 | ↓ -33% |
| Aetna | EBR ASO | $764.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $764.80 | ↓ -33% |
| Cigna | Commercial | $764.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $800.38 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $879.71 | ↓ -23% |
| InterGroup | PPO | $956.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,200.57 | ↑ +5% |
| Coventry/First Health | Commercial | $1,338.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,529.60 | ↑ +33% |
| Private Health Care Systems | PPO | $1,625.20 | ↑ +42% |
| Humana | Commercial | $1,625.20 | ↑ +42% |
| Multiplan | PPO | $1,759.04 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nerobehav stas exam by psy/md f2f 1st hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $248.00 | $59.70 – $434.70 |