Plcmt sft tiss loc pq w/img 1st lsn at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,437.60
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.
?
What you pay up front if you don't use insurance.
$2,396.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$77.29 with UPMC Health Plan vs $2,204.32 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $77.29 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $77.29 | ↓ -95% |
| Aetna | CHIP/Medicaid | $91.34 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $104.20 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $109.37 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $111.18 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $119.74 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $359.50 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $627.79 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $682.05 | ↓ -53% |
| UPMC Health Plan | Partners/Select | $688.10 | ↓ -52% |
| Aetna of PA | Medicare | $704.33 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $724.39 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $724.45 | ↓ -50% |
| United Healthcare | Medicare | $724.45 | ↓ -50% |
| Aetna | Medicare | $737.87 | ↓ -49% |
| Aetna | Neighborhood Network | $862.56 | ↓ -40% |
| Aetna | EBR FI | $934.44 | ↓ -35% |
| Aetna | Home Depot Employer Group | $939.23 | ↓ -35% |
| Cigna | New Business ASO | $958.40 | ↓ -33% |
| Aetna | EBR ASO | $958.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $958.40 | ↓ -33% |
| Cigna | Commercial | $958.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,040.07 | ↓ -28% |
| InterGroup | PPO | $1,198.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,205.88 | ↓ -16% |
| Highmark BCBS of PA | Managed Care | $1,392.84 | ↓ -3% |
| UPMC Health Plan | Commercial | $1,548.87 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,614.94 | ↑ +12% |
| Coventry/First Health | Commercial | $1,677.20 | ↑ +17% |
| UPMC Health Plan | CHIP | $1,706.04 | ↑ +19% |
| Preferred Healthcare System | PPO | $1,916.80 | ↑ +33% |
| Private Health Care Systems | PPO | $2,036.60 | ↑ +42% |
| Humana | Commercial | $2,036.60 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $2,089.28 | ↑ +45% |
| Multiplan | PPO | $2,204.32 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Plcmt sft tiss loc pq w/img 1st lsn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,387.20 | $89.23 – $1,965.20 |
| UPMC Community Osteopathic | Harrisburg | $1,387.20 | $92.04 – $1,965.20 |
| UPMC Northwest | Seneca | $1,473.60 | $77.29 – $704.33 |
| UPMC Hanover | Hanover | $1,387.20 | $89.23 – $1,075.42 |
| UPMC Lititz | Lititz | $1,387.20 | $89.23 – $1,081.23 |
| UPMC Memorial | York | $1,387.20 | $89.23 – $1,079.47 |
| UPMC Somerset | Somerset | $1,387.20 | $77.29 – $682.05 |
| WellSpan Chambersburg Hospital | Chambersburg | $1,201.60 | $87.83 – $3,235.87 |