Nerve conduction studies 11-12 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,270.40
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.
$3,784.00
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.
$83.45 with Highmark BCBS of PA vs $3,481.28 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 | $83.45 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $218.60 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $218.60 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $254.67 | ↓ -89% |
| UPMC Health Plan | CHIP | $257.54 | ↓ -89% |
| Aetna | CHIP/Medicaid | $258.35 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $279.91 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $294.72 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $309.36 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $314.47 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $338.68 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $341.06 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $354.54 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Indemnity | $374.86 | ↓ -83% |
| UPMC Health Plan | Commercial | $397.86 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $473.43 | ↓ -79% |
| Highmark BCBS of PA | UPMC Emergent | $511.59 | ↓ -77% |
| UPMC Health Plan | Partners/Select | $518.91 | ↓ -77% |
| Aetna of PA | Medicare | $531.15 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $546.28 | ↓ -76% |
| United Healthcare | Medicare | $546.33 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $546.33 | ↓ -76% |
| Aetna | Medicare | $556.45 | ↓ -75% |
| Aetna | Neighborhood Network | $1,362.24 | ↓ -40% |
| Aetna | EBR FI | $1,475.76 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,483.33 | ↓ -35% |
| Cigna | New Business ASO | $1,513.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,513.60 | ↓ -33% |
| Aetna | EBR ASO | $1,513.60 | ↓ -33% |
| Cigna | Commercial | $1,513.60 | ↓ -33% |
| InterGroup | PPO | $1,892.00 | ↓ -17% |
| Coventry/First Health | Commercial | $2,648.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,027.20 | ↑ +33% |
| Private Health Care Systems | PPO | $3,216.40 | ↑ +42% |
| Humana | Commercial | $3,216.40 | ↑ +42% |
| Multiplan | PPO | $3,481.28 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nerve conduction studies 11-12 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,166.00 | $82.66 – $556.45 |
| UPMC Passavant-McCandless | Pittsburgh | $576.00 | $83.45 – $556.45 |
| UPMC Presbyterian | Pittsburgh | $3,663.00 | $83.45 – $556.45 |
| UPMC Altoona | Altoona | $542.40 | $77.55 – $723.20 |
| UPMC Bedford | Everett | $1,788.60 | $182.51 – $2,682.90 |
| UPMC Carlisle | Carlisle | $328.20 | $74.94 – $812.13 |
| UPMC Cole | Coudersport | $316.20 | $63.48 – $354.54 |
| UPMC Community Osteopathic | Harrisburg | $328.20 | $101.59 – $558.48 |