Njx aa&/strd sc nrv nfs img at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,715.40
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.
$2,859.00
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.
$90.60 with UPMC Health Plan vs $3,438.06 with UPMC Health Plan — 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 | $90.60 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $90.60 | ↓ -95% |
| Aetna | CHIP/Medicaid | $107.07 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $122.14 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $128.21 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $130.33 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $140.36 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $310.02 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $310.13 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $794.37 | ↓ -54% |
| UPMC Health Plan | Partners/Select | $870.68 | ↓ -49% |
| Aetna of PA | Medicare | $891.22 | ↓ -48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $896.91 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $916.60 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $916.68 | ↓ -47% |
| United Healthcare | Medicare | $916.68 | ↓ -47% |
| Aetna | Medicare | $933.66 | ↓ -46% |
| Aetna | Neighborhood Network | $1,029.24 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,039.90 | ↓ -39% |
| Aetna | EBR FI | $1,115.01 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,120.73 | ↓ -35% |
| Cigna | New Business ASO | $1,143.60 | ↓ -33% |
| Aetna | EBR ASO | $1,143.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,143.60 | ↓ -33% |
| Cigna | Commercial | $1,143.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $1,201.13 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,392.65 | ↓ -19% |
| InterGroup | PPO | $1,429.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,801.70 | ↑ +5% |
| Coventry/First Health | Commercial | $2,001.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,128.65 | ↑ +24% |
| Preferred Healthcare System | PPO | $2,287.20 | ↑ +33% |
| Humana | Commercial | $2,430.15 | ↑ +42% |
| Private Health Care Systems | PPO | $2,430.15 | ↑ +42% |
| Multiplan | PPO | $2,630.28 | ↑ +53% |
| UPMC Health Plan | CHIP | $3,438.06 | ↑ +100% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Njx aa&/strd sc nrv nfs img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,070.60 | $90.60 – $933.66 |
| UPMC Passavant-McCandless | Pittsburgh | $1,544.40 | $90.60 – $933.66 |
| UPMC Presbyterian | Pittsburgh | $3,063.60 | $90.60 – $933.66 |
| UPMC St. Margaret | Pittsburgh | $1,990.20 | $90.60 – $933.66 |
| UPMC Altoona | Altoona | $1,909.20 | $82.36 – $2,545.60 |
| UPMC East | Monroeville | $1,497.00 | $90.60 – $1,996.00 |
| UPMC Horizon-Greenville | Greenville | $1,523.40 | $90.60 – $916.68 |
| UPMC Williamsport | Williamsport | $1,963.80 | $90.60 – $993.28 |