Place device/marker, non pro at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$6,542.40
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.
$10,904.00
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.
$839.88 with Highmark BCBS of PA vs $10,031.68 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 | $839.88 | ↓ -87% |
| UPMC Health Plan | CHIP | $1,182.44 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $1,220.85 | ↓ -81% |
| UPMC Health Plan | Partners/Select | $1,338.13 | ↓ -80% |
| Aetna of PA | Medicare | $1,369.69 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,408.70 | ↓ -78% |
| United Healthcare | Medicare | $1,408.83 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $1,408.83 | ↓ -78% |
| Aetna | Medicare | $1,434.92 | ↓ -78% |
| UPMC Health Plan | Commercial | $1,826.68 | ↓ -72% |
| Aetna | CHIP/Medicaid | $1,962.72 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,429.87 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,817.25 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $3,254.04 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,772.92 | ↓ -42% |
| Aetna | Neighborhood Network | $3,925.44 | ↓ -40% |
| Aetna | EBR FI | $4,252.56 | ↓ -35% |
| Aetna | Home Depot Employer Group | $4,274.37 | ↓ -35% |
| Cigna | Commercial | $4,361.60 | ↓ -33% |
| Aetna | EBR ASO | $4,361.60 | ↓ -33% |
| Cigna | New Business ASO | $4,361.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $4,361.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $4,881.08 | ↓ -25% |
| InterGroup | PPO | $5,452.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5,997.20 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $5,997.20 | ↓ -8% |
| Coventry/First Health | Commercial | $7,632.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $8,723.20 | ↑ +33% |
| Humana | Commercial | $9,268.40 | ↑ +42% |
| Private Health Care Systems | PPO | $9,268.40 | ↑ +42% |
| Multiplan | PPO | $10,031.68 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Place device/marker, non pro at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Memorial | York | $964.80 | $678.08 – $2,099.23 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,071.33 – $1,453.60 |
| UPMC Lititz | Lititz | not published | $1,071.33 – $2,102.66 |