healthcosts.net
New Patient Office Visit (level 3) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$324.60
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.
?
What you pay up front if you don't use insurance.
$541.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$36.08 with Aetna of PA vs $497.72 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 of PA | Medicare | $36.08 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $59.67 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $59.67 | ↓ -82% |
| Cigna | Commercial | $63.91 | ↓ -80% |
| Cigna | New Business ASO | $63.91 | ↓ -80% |
| Aetna | CHIP/Medicaid | $70.53 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $80.45 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $84.45 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $85.85 | ↓ -74% |
| Aetna | Medicare | $89.90 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $92.45 | ↓ -72% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $96.92 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $139.29 | ↓ -57% |
| Aetna | Neighborhood Network | $194.76 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $204.63 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $207.50 | ↓ -36% |
| Aetna | EBR FI | $210.99 | ↓ -35% |
| Aetna | Home Depot Employer Group | $212.07 | ↓ -35% |
| Aetna | EBR ASO | $216.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $216.40 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $270.50 | ↓ -17% |
| InterGroup | PPO | $270.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $274.05 | ↓ -16% |
| Highmark BCBS of PA | Managed Care | $277.90 | ↓ -14% |
| UPMC Health Plan | CHIP | $289.24 | ↓ -11% |
| Coventry/First Health | Commercial | $378.70 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $416.85 | ↑ +28% |
| Preferred Healthcare System | PPO | $432.80 | ↑ +33% |
| Humana | Commercial | $459.85 | ↑ +42% |
| Private Health Care Systems | PPO | $459.85 | ↑ +42% |
| Multiplan | PPO | $497.72 | ↑ +53% |
Visitor-reported prices
Comments
New Patient Office Visit (level 3) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $238.80 | $59.67 – $338.30 |
| UPMC Mercy | Pittsburgh | $225.60 | $36.08 – $338.40 |
| UPMC Presbyterian | Pittsburgh | $255.60 | $59.67 – $362.10 |
| UPMC St. Margaret | Pittsburgh | $222.00 | $59.67 – $314.50 |
| UPMC Western Psychiatric | Pittsburgh | $259.20 | $94.97 – $346.80 |
| UPMC East | Monroeville | $330.00 | $36.08 – $440.00 |
| UPMC Hamot | Erie | $231.60 | $57.90 – $274.62 |
| UPMC Altoona | Altoona | $230.40 | $20.00 – $307.20 |