Njx px nfrosgrm &/urtrgrm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,726.20
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.
$2,877.00
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.
$353.81 with Highmark BCBS of PA vs $2,646.84 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 | $353.81 | ↓ -80% |
| Aetna | CHIP/Medicaid | $517.86 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $595.56 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $652.77 | ↓ -62% |
| Aetna of PA | Medicare | $668.17 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $671.26 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $687.19 | ↓ -60% |
| United Healthcare | Medicare | $687.26 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $687.26 | ↓ -60% |
| Aetna | Medicare | $699.99 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,023.62 | ↓ -41% |
| Aetna | Neighborhood Network | $1,035.72 | ↓ -40% |
| Aetna | EBR FI | $1,122.03 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,127.78 | ↓ -35% |
| Cigna | Commercial | $1,150.80 | ↓ -33% |
| Cigna | New Business ASO | $1,150.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,150.80 | ↓ -33% |
| Aetna | EBR ASO | $1,150.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,186.81 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $1,370.82 | ↓ -21% |
| InterGroup | PPO | $1,438.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $1,582.35 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,582.35 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,589.40 | ↓ -8% |
| Coventry/First Health | Commercial | $2,013.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,035.17 | ↑ +18% |
| Highmark BCBS of PA | UPMC Emergent | $2,056.23 | ↑ +19% |
| UPMC Health Plan | CHIP | $2,241.68 | ↑ +30% |
| Preferred Healthcare System | PPO | $2,301.60 | ↑ +33% |
| Humana | Commercial | $2,445.45 | ↑ +42% |
| Private Health Care Systems | PPO | $2,445.45 | ↑ +42% |
| Multiplan | PPO | $2,646.84 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Njx px nfrosgrm &/urtrgrm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,703.60 | $350.48 – $764.38 |
| UPMC Passavant-McCandless | Pittsburgh | $2,292.00 | $353.81 – $780.53 |
| UPMC Presbyterian | Pittsburgh | $3,574.20 | $353.81 – $1,270.31 |
| UPMC St. Margaret | Pittsburgh | $1,726.20 | $353.81 – $699.99 |
| UPMC Altoona | Altoona | $1,629.00 | $350.48 – $2,172.00 |
| UPMC Bedford | Everett | $4,134.00 | $229.60 – $6,201.00 |
| UPMC Carlisle | Carlisle | $1,266.00 | $289.07 – $1,793.50 |
| UPMC Community Osteopathic | Harrisburg | $1,266.00 | $422.00 – $2,241.68 |