Pet CT whole body initial at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$12,784.80
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.
$21,308.00
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.
$847.98 with UPMC Health Plan vs $24,112.06 with Highmark BCBS of PA — 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 | Commercial | $847.98 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $1,301.45 | ↓ -90% |
| UPMC Health Plan | Partners/Select | $1,426.47 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,440.58 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $1,440.58 | ↓ -89% |
| Aetna of PA | Medicare | $1,460.12 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,501.70 | ↓ -88% |
| United Healthcare | Medicare | $1,501.84 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $1,501.84 | ↓ -88% |
| Aetna | Medicare | $1,529.65 | ↓ -88% |
| Aetna | CHIP/Medicaid | $1,702.51 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,942.17 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $2,038.69 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,072.34 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,231.85 | ↓ -83% |
| UPMC Health Plan | CHIP | $2,913.12 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,148.94 | ↓ -68% |
| Aetna | Neighborhood Network | $7,670.88 | ↓ -40% |
| Aetna | EBR FI | $8,310.12 | ↓ -35% |
| Aetna | Home Depot Employer Group | $8,352.74 | ↓ -35% |
| Cigna | Commercial | $8,523.20 | ↓ -33% |
| Cigna | New Business ASO | $8,523.20 | ↓ -33% |
| Aetna | EBR ASO | $8,523.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $8,523.20 | ↓ -33% |
| InterGroup | PPO | $10,654.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $12,003.30 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $13,916.92 | ↑ +9% |
| Coventry/First Health | Commercial | $14,915.60 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $16,074.63 | ↑ +26% |
| Preferred Healthcare System | PPO | $17,046.40 | ↑ +33% |
| Private Health Care Systems | PPO | $18,111.80 | ↑ +42% |
| Humana | Commercial | $18,111.80 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $18,637.85 | ↑ +46% |
| Multiplan | PPO | $19,603.36 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $24,112.06 | ↑ +89% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pet CT whole body initial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $9,824.40 | $808.44 – $4,148.94 |
| UPMC Presbyterian | Pittsburgh | $15,426.60 | $1,440.58 – $4,148.94 |
| UPMC Altoona | Altoona | $6,894.60 | $1,207.25 – $9,192.80 |
| UPMC Carlisle | Carlisle | $5,639.40 | $800.00 – $7,989.15 |
| UPMC Cole | Coudersport | $8,079.60 | $1,375.10 – $10,772.80 |
| UPMC Community Osteopathic | Harrisburg | $5,639.40 | $1,581.50 – $18,069.18 |
| UPMC Northwest | Seneca | $12,895.20 | $808.81 – $1,506.06 |
| UPMC Hanover | Hanover | $5,639.40 | $800.00 – $7,584.17 |