Perq dev breast 1st mr guide at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,762.00
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.
$6,270.00
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.
$127.14 with UPMC Health Plan vs $5,768.40 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 | $127.14 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $127.14 | ↓ -97% |
| Aetna | CHIP/Medicaid | $150.25 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $171.41 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $179.92 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $182.89 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $196.97 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $607.29 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $627.79 | ↓ -83% |
| UPMC Health Plan | Partners/Select | $688.10 | ↓ -82% |
| Aetna of PA | Medicare | $704.33 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $724.39 | ↓ -81% |
| United Healthcare | Medicare | $724.45 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $724.45 | ↓ -81% |
| Aetna | Medicare | $737.87 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $1,145.63 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,756.95 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,037.06 | ↓ -46% |
| UPMC Health Plan | CHIP | $2,194.50 | ↓ -42% |
| Aetna | Neighborhood Network | $2,257.20 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $2,352.89 | ↓ -37% |
| Aetna | EBR FI | $2,445.30 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,457.84 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,508.00 | ↓ -33% |
| Aetna | EBR ASO | $2,508.00 | ↓ -33% |
| Cigna | New Business ASO | $2,508.00 | ↓ -33% |
| Cigna | Commercial | $2,508.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,727.45 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,728.07 | ↓ -27% |
| InterGroup | PPO | $3,135.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $3,529.35 | ↓ -6% |
| Coventry/First Health | Commercial | $4,389.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $5,016.00 | ↑ +33% |
| Private Health Care Systems | PPO | $5,329.50 | ↑ +42% |
| Humana | Commercial | $5,329.50 | ↑ +42% |
| Multiplan | PPO | $5,768.40 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Perq dev breast 1st mr guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,153.40 | $146.79 – $3,050.65 |
| UPMC Community Osteopathic | Harrisburg | $2,153.40 | $151.41 – $3,050.65 |
| UPMC Hanover | Hanover | $2,153.40 | $146.79 – $1,198.92 |
| UPMC Lititz | Lititz | $2,153.40 | $146.79 – $1,198.92 |
| UPMC Memorial | York | $2,153.40 | $146.79 – $1,198.92 |
| UPMC Somerset | Somerset | $2,153.40 | $127.14 – $1,145.63 |