Pr moderate sedation same physician >= 5 years initial 15 minutes at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$710.40
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.
?
What you pay up front if you don't use insurance.
$1,184.00
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.
$10.89 with UPMC Health Plan vs $1,361.01 with Highmark BCBS of PA — 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 | $10.89 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $10.89 | ↓ -98% |
| Aetna | CHIP/Medicaid | $12.87 | ↓ -98% |
| Aetna | Medicare | $13.32 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.68 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $15.41 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.67 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16.87 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $64.78 | ↓ -91% |
| UPMC Health Plan | CHIP | $414.40 | ↓ -42% |
| Aetna | Neighborhood Network | $426.24 | ↓ -40% |
| Aetna | EBR FI | $461.76 | ↓ -35% |
| Aetna | Home Depot Employer Group | $464.13 | ↓ -35% |
| Cigna | New Business ASO | $473.60 | ↓ -33% |
| Cigna | Commercial | $473.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $473.60 | ↓ -33% |
| Aetna | EBR ASO | $473.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $515.04 | ↓ -28% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $592.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $592.00 | ↓ -17% |
| InterGroup | PPO | $592.00 | ↓ -17% |
| Coventry/First Health | Commercial | $828.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $878.29 | ↑ +24% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $878.29 | ↑ +24% |
| Highmark BCBS of PA | Managed Care - Social Mission | $907.30 | ↑ +28% |
| Highmark BCBS of PA | Managed Care | $907.30 | ↑ +28% |
| Preferred Healthcare System | PPO | $947.20 | ↑ +33% |
| Private Health Care Systems | PPO | $1,006.40 | ↑ +42% |
| Humana | Commercial | $1,006.40 | ↑ +42% |
| Multiplan | PPO | $1,089.28 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $1,361.01 | ↑ +92% |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $484.20 | $10.89 – $73.58 |
| UPMC Passavant-McCandless | Pittsburgh | $721.80 | $10.89 – $75.32 |
| UPMC Presbyterian | Pittsburgh | $429.60 | $10.89 – $85.56 |
| UPMC St. Margaret | Pittsburgh | $379.20 | $10.89 – $64.78 |
| UPMC Altoona | Altoona | $223.20 | $9.90 – $297.60 |
| UPMC Bedford | Everett | $138.00 | $10.39 – $207.00 |
| UPMC Carlisle | Carlisle | $831.60 | $12.57 – $1,178.10 |
| UPMC Cole | Coudersport | $21.00 | $9.70 – $64.78 |