Place po breast cath for rad at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$21,712.80
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.
$36,188.00
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.
$6,172.69 with UPMC Health Plan vs $49,089.69 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 | $6,172.69 | ↓ -72% |
| Aetna | CHIP/Medicaid | $6,513.84 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $8,233.65 | ↓ -62% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $8,446.82 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $8,538.16 | ↓ -61% |
| UPMC Health Plan | Partners/Select | $9,358.31 | ↓ -57% |
| Aetna of PA | Medicare | $9,579.09 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $9,851.86 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $9,852.78 | ↓ -55% |
| United Healthcare | Medicare | $9,852.78 | ↓ -55% |
| UPMC Health Plan | CHIP | $9,969.74 | ↓ -54% |
| Aetna | Medicare | $10,035.23 | ↓ -54% |
| Aetna | Neighborhood Network | $13,027.68 | ↓ -40% |
| Aetna | EBR FI | $14,113.32 | ↓ -35% |
| Aetna | Home Depot Employer Group | $14,185.70 | ↓ -35% |
| Aetna | EBR ASO | $14,475.20 | ↓ -33% |
| Cigna | New Business ASO | $14,475.20 | ↓ -33% |
| Cigna | Commercial | $14,475.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $14,475.20 | ↓ -33% |
| InterGroup | PPO | $18,094.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $19,903.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $19,903.40 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $24,437.49 | ↑ +13% |
| Coventry/First Health | Commercial | $25,331.60 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $28,333.42 | ↑ +30% |
| Preferred Healthcare System | PPO | $28,950.40 | ↑ +33% |
| Private Health Care Systems | PPO | $30,759.80 | ↑ +42% |
| Humana | Commercial | $30,759.80 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $32,726.31 | ↑ +51% |
| Multiplan | PPO | $33,292.96 | ↑ +53% |
| Highmark BCBS of PA | Commercial - Indemnity | $37,944.75 | ↑ +75% |
| Highmark BCBS of PA | UPMC Emergent | $49,089.69 | ↑ +126% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Place po breast cath for rad at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $595.80 | $993.28 – $8,808.09 |
| UPMC Wellsboro | Wellsboro | $720.80 | $993.28 – $8,233.65 |