Peng benzathine/procaine inj at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,037.40
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.
$1,729.00
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.
$6.83 with Highmark BCBS of PA vs $69.92 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 | $6.83 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $12.33 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $17.44 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $18.27 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.52 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $19.52 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $19.52 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $19.52 | ↓ -98% |
| UPMC Health Plan | Partners/Select | $20.02 | ↓ -98% |
| UPMC Health Plan | CHIP | $20.40 | ↓ -98% |
| Aetna of PA | Medicare | $20.50 | ↓ -98% |
| Aetna | CHIP/Medicaid | $20.69 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $21.08 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $21.08 | ↓ -98% |
| United Healthcare | Medicare | $21.08 | ↓ -98% |
| Aetna | Medicare | $21.47 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $22.91 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $23.23 | ↓ -98% |
| UPMC Health Plan | Commercial | $24.01 | ↓ -98% |
| Aetna | Neighborhood Network | $27.36 | ↓ -97% |
| Aetna | EBR FI | $29.64 | ↓ -97% |
| Aetna | Home Depot Employer Group | $29.79 | ↓ -97% |
| Cigna | New Business ASO | $30.40 | ↓ -97% |
| Aetna | EBR ASO | $30.40 | ↓ -97% |
| Aetna | NBR ASO/FI | $30.40 | ↓ -97% |
| Cigna | Commercial | $30.40 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $30.68 | ↓ -97% |
| Highmark BCBS of PA | Managed Care | $31.12 | ↓ -97% |
| InterGroup | PPO | $38.00 | ↓ -96% |
| Highmark BCBS of PA | UPMC Emergent | $46.67 | ↓ -96% |
| Coventry/First Health | Commercial | $53.20 | ↓ -95% |
| Preferred Healthcare System | PPO | $60.80 | ↓ -94% |
| Private Health Care Systems | PPO | $64.60 | ↓ -94% |
| Humana | Commercial | $64.60 | ↓ -94% |
| Multiplan | PPO | $69.92 | ↓ -93% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Peng benzathine/procaine inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $251.40 | $6.77 – $21.47 |
| UPMC Presbyterian | Pittsburgh | $1,641.00 | $6.83 – $21.47 |
| UPMC Cole | Coudersport | $119.40 | $19.52 – $159.20 |
| UPMC Hamot | Erie | $22.80 | $6.77 – $21.08 |
| UPMC Muncy | Muncy | $581.40 | $19.52 – $21.48 |
| UPMC Wellsboro | Wellsboro | $581.40 | $19.52 – $21.48 |
| UPMC Williamsport | Williamsport | $48.00 | $19.52 – $20.89 |
| Uniontown Hospital | Uniontown | $42.00 | $19.52 – $45.48 |