Ob Ultrasound nuchal meas add-on at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$197.40
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.
?
What you pay up front if you don't use insurance.
$329.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$61.91 with Highmark BCBS of PA vs $359.77 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $61.91 | ↓ -69% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $68.17 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $68.17 | ↓ -65% |
| Aetna | Medicare | $73.85 | ↓ -63% |
| Aetna | CHIP/Medicaid | $80.56 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $91.90 | ↓ -53% |
| UPMC Health Plan | Commercial | $94.24 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $96.47 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $98.06 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $105.61 | ↓ -46% |
| UPMC Health Plan | CHIP | $118.22 | ↓ -40% |
| Aetna | Neighborhood Network | $118.44 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $123.19 | ↓ -38% |
| Aetna | EBR FI | $128.31 | ↓ -35% |
| Aetna | Home Depot Employer Group | $128.97 | ↓ -35% |
| Cigna | New Business ASO | $131.60 | ↓ -33% |
| Aetna | EBR ASO | $131.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $131.60 | ↓ -33% |
| Cigna | Commercial | $131.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $164.50 | ↓ -17% |
| InterGroup | PPO | $164.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $179.10 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $207.65 | ↑ +5% |
| Coventry/First Health | Commercial | $230.30 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $239.85 | ↑ +22% |
| Preferred Healthcare System | PPO | $263.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $278.09 | ↑ +41% |
| Private Health Care Systems | PPO | $279.65 | ↑ +42% |
| Humana | Commercial | $279.65 | ↑ +42% |
| Multiplan | PPO | $302.68 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $359.77 | ↑ +82% |
Visitor-reported prices
Comments
Ob Ultrasound nuchal meas add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $175.20 | $34.57 – $248.20 |
| UPMC Community Osteopathic | Harrisburg | $175.20 | $34.57 – $269.61 |
| UPMC Hamot | Erie | $430.80 | $59.03 – $183.38 |
| UPMC Hanover | Hanover | $175.20 | $34.57 – $128.93 |
| UPMC Jameson | New Castle | $304.20 | $30.35 – $123.19 |
| UPMC Lititz | Lititz | $175.20 | $34.57 – $128.93 |
| UPMC Memorial | York | $175.20 | $34.57 – $218.88 |
| UPMC Somerset | Somerset | $175.20 | $30.35 – $123.19 |