Nr lnr acclrtr tx max 5 sessions at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$12,104.40
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.
$20,174.00
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.
$1,100.00 with UPMC Health Plan vs $18,560.08 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 | $1,100.00 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,100.00 | ↓ -91% |
| Aetna | CHIP/Medicaid | $1,300.00 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,483.00 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $1,556.70 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $1,566.74 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,582.40 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,704.20 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $1,717.24 | ↓ -86% |
| Aetna of PA | Medicare | $1,757.75 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,807.81 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $1,807.97 | ↓ -85% |
| United Healthcare | Medicare | $1,807.97 | ↓ -85% |
| Aetna | Medicare | $1,841.45 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $2,350.00 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,763.33 | ↓ -77% |
| UPMC Health Plan | Commercial | $4,288.83 | ↓ -65% |
| UPMC Health Plan | CHIP | $5,380.26 | ↓ -56% |
| Aetna | Neighborhood Network | $7,262.64 | ↓ -40% |
| Aetna | EBR FI | $7,867.86 | ↓ -35% |
| Aetna | Home Depot Employer Group | $7,908.21 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,994.60 | ↓ -34% |
| Cigna | New Business ASO | $8,069.60 | ↓ -33% |
| Aetna | EBR ASO | $8,069.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $8,069.60 | ↓ -33% |
| Cigna | Commercial | $8,069.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9,269.13 | ↓ -23% |
| InterGroup | PPO | $10,087.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $10,706.24 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $12,413.43 | ↑ +3% |
| Coventry/First Health | Commercial | $14,121.80 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $16,059.44 | ↑ +33% |
| Preferred Healthcare System | PPO | $16,139.20 | ↑ +33% |
| Private Health Care Systems | PPO | $17,147.90 | ↑ +42% |
| Humana | Commercial | $17,147.90 | ↑ +42% |
| Multiplan | PPO | $18,560.08 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nr lnr acclrtr tx max 5 sessions at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $14,978.40 | $1,100.00 – $2,763.33 |
| UPMC Presbyterian | Pittsburgh | $13,989.00 | $1,100.00 – $3,346.79 |
| UPMC St. Margaret | Pittsburgh | $14,130.60 | $1,100.00 – $2,763.33 |
| UPMC Altoona | Altoona | $12,780.60 | $1,000.00 – $17,040.80 |
| UPMC Carlisle | Carlisle | $9,337.20 | $1,270.00 – $13,227.70 |
| UPMC Community Osteopathic | Harrisburg | $9,337.20 | $1,270.00 – $13,227.70 |
| UPMC East | Monroeville | $15,173.40 | $1,100.00 – $20,231.20 |
| UPMC Horizon-Greenville | Greenville | $11,922.60 | $1,100.00 – $3,141.35 |