Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,693.80
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.
$2,823.00
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.
$125.40 with UPMC Health Plan vs $2,597.16 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $125.40 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $125.40 | ↓ -93% |
| Aetna | CHIP/Medicaid | $148.20 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $169.06 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $177.46 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $180.39 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $194.28 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $241.94 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $480.29 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $485.58 | ↓ -71% |
| UPMC Health Plan | Partners/Select | $526.42 | ↓ -69% |
| Aetna of PA | Medicare | $538.84 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $554.18 | ↓ -67% |
| United Healthcare | Medicare | $554.23 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $554.23 | ↓ -67% |
| Aetna | Medicare | $564.50 | ↓ -67% |
| UPMC Health Plan | Commercial | $610.05 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $699.95 | ↓ -59% |
| UPMC Health Plan | CHIP | $765.30 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $811.54 | ↓ -52% |
| Highmark BCBS of PA | Managed Care | $937.36 | ↓ -45% |
| Aetna | Neighborhood Network | $1,016.28 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,086.83 | ↓ -36% |
| Aetna | EBR FI | $1,100.97 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,106.62 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,129.20 | ↓ -33% |
| Aetna | EBR ASO | $1,129.20 | ↓ -33% |
| Cigna | New Business ASO | $1,129.20 | ↓ -33% |
| Cigna | Commercial | $1,129.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $1,406.05 | ↓ -17% |
| InterGroup | PPO | $1,411.50 | ↓ -17% |
| Coventry/First Health | Commercial | $1,976.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,258.40 | ↑ +33% |
| Private Health Care Systems | PPO | $2,399.55 | ↑ +42% |
| Humana | Commercial | $2,399.55 | ↑ +42% |
| Multiplan | PPO | $2,597.16 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,385.40 | $125.40 – $570.11 |
| UPMC Passavant-McCandless | Pittsburgh | $688.20 | $125.40 – $564.63 |
| UPMC Presbyterian | Pittsburgh | $3,437.40 | $82.80 – $662.92 |
| UPMC St. Margaret | Pittsburgh | $754.80 | $125.40 – $564.50 |
| UPMC Altoona | Altoona | $898.80 | $69.00 – $1,198.40 |
| UPMC Bedford | Everett | $1,032.60 | $119.70 – $1,548.90 |
| UPMC Carlisle | Carlisle | $1,574.40 | $77.13 – $823.87 |
| UPMC Cole | Coudersport | $465.60 | $119.70 – $620.80 |