Plc pq device breast ea addl lesion MRI guide at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,987.60
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.
$6,646.00
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.
$55.90 with UPMC Health Plan vs $6,114.32 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 | $55.90 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $55.90 | ↓ -99% |
| Aetna | Medicare | $60.62 | ↓ -98% |
| Aetna | CHIP/Medicaid | $66.07 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.37 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $79.11 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $80.42 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $86.61 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $480.44 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $906.35 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,389.96 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,611.56 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $1,861.41 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,158.23 | ↓ -46% |
| UPMC Health Plan | CHIP | $2,326.10 | ↓ -42% |
| Aetna | Neighborhood Network | $2,392.56 | ↓ -40% |
| Aetna | EBR FI | $2,591.94 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,605.23 | ↓ -35% |
| Cigna | Commercial | $2,658.40 | ↓ -33% |
| Aetna | EBR ASO | $2,658.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,658.40 | ↓ -33% |
| Cigna | New Business ASO | $2,658.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $2,792.14 | ↓ -30% |
| UPMC Health Plan | Commercial | $2,891.01 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,323.00 | ↓ -17% |
| InterGroup | PPO | $3,323.00 | ↓ -17% |
| Coventry/First Health | Commercial | $4,652.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $5,316.80 | ↑ +33% |
| Private Health Care Systems | PPO | $5,649.10 | ↑ +42% |
| Humana | Commercial | $5,649.10 | ↑ +42% |
| Multiplan | PPO | $6,114.32 | ↑ +53% |
Visitor-reported prices
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Plc pq device breast ea addl lesion MRI guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,704.60 | $64.54 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $1,704.60 | $66.57 – $2,414.85 |
| UPMC Hamot | Erie | $3,289.20 | $55.90 – $906.35 |
| UPMC Hanover | Hanover | $1,704.60 | $64.54 – $948.51 |
| UPMC Lititz | Lititz | $1,704.60 | $55.11 – $948.51 |
| UPMC Memorial | York | $1,704.60 | $55.11 – $948.51 |
| UPMC Somerset | Somerset | $1,704.60 | $55.90 – $906.35 |