Nuclear rx IV admin at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$763.20
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.
$1,272.00
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.
$110.79 with Highmark BCBS of PA vs $1,170.24 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 | $110.79 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $126.42 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $126.42 | ↓ -83% |
| Aetna | CHIP/Medicaid | $149.41 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $170.44 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $178.91 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $181.87 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $195.86 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $199.98 | ↓ -74% |
| UPMC Health Plan | Partners/Select | $219.19 | ↓ -71% |
| Aetna of PA | Medicare | $224.36 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $230.75 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $230.77 | ↓ -70% |
| United Healthcare | Medicare | $230.77 | ↓ -70% |
| Aetna | Medicare | $235.05 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $320.52 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $357.04 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $371.62 | ↓ -51% |
| Highmark BCBS of PA | Managed Care | $429.24 | ↓ -44% |
| Aetna | Neighborhood Network | $457.92 | ↓ -40% |
| Aetna | EBR FI | $496.08 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Indemnity | $497.68 | ↓ -35% |
| Aetna | Home Depot Employer Group | $498.62 | ↓ -35% |
| Cigna | New Business ASO | $508.80 | ↓ -33% |
| Aetna | EBR ASO | $508.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $508.80 | ↓ -33% |
| Cigna | Commercial | $508.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $602.73 | ↓ -21% |
| InterGroup | PPO | $636.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $643.86 | ↓ -16% |
| UPMC Health Plan | CHIP | $756.11 | ↓ -1% |
| Coventry/First Health | Commercial | $890.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,017.60 | ↑ +33% |
| Humana | Commercial | $1,081.20 | ↑ +42% |
| Private Health Care Systems | PPO | $1,081.20 | ↑ +42% |
| Multiplan | PPO | $1,170.24 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear rx IV admin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $2,635.80 | $44.68 – $476.92 |
| UPMC St. Margaret | Pittsburgh | $1,408.20 | $110.79 – $357.04 |
| UPMC Carlisle | Carlisle | $791.40 | $48.77 – $1,121.15 |
| UPMC Community Osteopathic | Harrisburg | $791.40 | $48.77 – $1,121.15 |
| UPMC Hamot | Erie | $710.40 | $109.74 – $357.04 |
| UPMC Hanover | Hanover | $791.40 | $48.77 – $373.64 |
| UPMC Horizon-Greenville | Greenville | $477.00 | $126.42 – $357.04 |
| UPMC Lititz | Lititz | $791.40 | $48.77 – $373.64 |