Pm device progr eval multi at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$274.20
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.
$457.00
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.
$33.27 with UPMC Health Plan vs $420.44 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 Medicare | $33.27 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $36.47 | ↓ -87% |
| Aetna of PA | Medicare | $37.33 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.39 | ↓ -86% |
| United Healthcare | Medicare | $38.39 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $38.39 | ↓ -86% |
| Aetna | Medicare | $39.10 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $46.74 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $48.55 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $48.55 | ↓ -82% |
| Aetna | CHIP/Medicaid | $57.38 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $65.46 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $68.71 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $69.85 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $75.22 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $116.14 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $142.65 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $156.79 | ↓ -43% |
| Aetna | Neighborhood Network | $164.52 | ↓ -40% |
| UPMC Health Plan | CHIP | $174.50 | ↓ -36% |
| Aetna | EBR FI | $178.23 | ↓ -35% |
| Aetna | Home Depot Employer Group | $179.14 | ↓ -35% |
| Cigna | New Business ASO | $182.80 | ↓ -33% |
| Aetna | EBR ASO | $182.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $182.80 | ↓ -33% |
| Cigna | Commercial | $182.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $191.04 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $209.98 | ↓ -23% |
| InterGroup | PPO | $228.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $269.57 | ↓ -2% |
| Highmark BCBS of PA | UPMC Emergent | $286.57 | ↑ +5% |
| Coventry/First Health | Commercial | $319.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $365.60 | ↑ +33% |
| Private Health Care Systems | PPO | $388.45 | ↑ +42% |
| Humana | Commercial | $388.45 | ↑ +42% |
| Multiplan | PPO | $420.44 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pm device progr eval multi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $253.80 | $29.63 – $130.24 |
| UPMC Passavant-McCandless | Pittsburgh | $255.60 | $33.04 – $135.05 |
| UPMC Presbyterian | Pittsburgh | $406.80 | $16.93 – $151.44 |
| UPMC St. Margaret | Pittsburgh | $271.20 | $30.69 – $116.14 |
| UPMC Cole | Coudersport | $183.00 | $46.35 – $244.00 |
| UPMC Hamot | Erie | $292.80 | $41.03 – $116.14 |
| UPMC Jameson | New Castle | $286.80 | $16.23 – $116.14 |
| UPMC Williamsport | Williamsport | $176.40 | $18.06 – $128.30 |