Nm imaging cardiac blood pooling planar single study at rest or stress at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,359.00
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.
$2,265.00
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.
$112.20 with United Healthcare Community Plan for Families vs $1,966.04 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $112.20 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $112.20 | ↓ -92% |
| Aetna | CHIP/Medicaid | $132.60 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $151.27 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $158.78 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $161.40 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $173.83 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $298.42 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $358.54 | ↓ -74% |
| UPMC Health Plan | Partners/Select | $392.98 | ↓ -71% |
| Aetna of PA | Medicare | $402.25 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $413.71 | ↓ -70% |
| United Healthcare | Medicare | $413.75 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $413.75 | ↓ -70% |
| Aetna | Medicare | $421.41 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $641.31 | ↓ -53% |
| UPMC Health Plan | Commercial | $752.01 | ↓ -45% |
| Aetna | Neighborhood Network | $769.32 | ↓ -43% |
| Aetna | EBR FI | $833.43 | ↓ -39% |
| Aetna | Home Depot Employer Group | $837.70 | ↓ -38% |
| Aetna | EBR ASO | $854.80 | ↓ -37% |
| Cigna | New Business ASO | $854.80 | ↓ -37% |
| Aetna | NBR ASO/FI | $854.80 | ↓ -37% |
| Cigna | Commercial | $854.80 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $863.36 | ↓ -36% |
| UPMC Health Plan | CHIP | $943.38 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,001.00 | ↓ -26% |
| InterGroup | PPO | $1,068.50 | ↓ -21% |
| Highmark BCBS of PA | Managed Care | $1,156.20 | ↓ -15% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,340.56 | ↓ -1% |
| Coventry/First Health | Commercial | $1,495.90 | ↑ +10% |
| Preferred Healthcare System | PPO | $1,709.60 | ↑ +26% |
| Highmark BCBS of PA | UPMC Emergent | $1,734.30 | ↑ +28% |
| Humana | Commercial | $1,816.45 | ↑ +34% |
| Private Health Care Systems | PPO | $1,816.45 | ↑ +34% |
| Multiplan | PPO | $1,966.04 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging cardiac blood pooling planar single study at rest or stress at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,369.40 | $112.20 – $652.36 |
| UPMC Passavant-McCandless | Pittsburgh | $2,709.00 | $112.20 – $745.71 |
| UPMC Presbyterian | Pittsburgh | $2,343.00 | $73.20 – $758.56 |
| UPMC St. Margaret | Pittsburgh | $1,257.60 | $112.20 – $641.31 |
| UPMC Altoona | Altoona | $694.80 | $61.00 – $926.40 |
| UPMC Bedford | Everett | $705.60 | $107.10 – $1,058.40 |
| UPMC Carlisle | Carlisle | $1,228.80 | $79.91 – $1,740.80 |
| UPMC Cole | Coudersport | $717.00 | $107.10 – $956.00 |