Pr planning advance care 1st 30 minutes at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$464.40
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.
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What you pay up front if you don't use insurance.
$774.00
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.
$36.08 with Aetna of PA vs $712.08 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $36.08 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $55.62 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $82.54 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $90.47 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $95.24 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $95.25 | ↓ -79% |
| United Healthcare | Medicare | $95.25 | ↓ -79% |
| Aetna | Medicare | $97.01 | ↓ -79% |
| Aetna | CHIP/Medicaid | $139.32 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $186.57 | ↓ -60% |
| Highmark BCBS of PA | Managed Care - Social Mission | $189.18 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Indemnity | $249.85 | ↓ -46% |
| Highmark BCBS of PA | Managed Care | $253.37 | ↓ -45% |
| UPMC Health Plan | CHIP | $270.90 | ↓ -42% |
| Aetna | Neighborhood Network | $278.64 | ↓ -40% |
| Aetna | EBR FI | $301.86 | ↓ -35% |
| Aetna | Home Depot Employer Group | $303.41 | ↓ -35% |
| Aetna | EBR ASO | $309.60 | ↓ -33% |
| Cigna | New Business ASO | $309.60 | ↓ -33% |
| Cigna | Commercial | $309.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $309.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $336.69 | ↓ -28% |
| Highmark BCBS of PA | UPMC Emergent | $380.05 | ↓ -18% |
| InterGroup | PPO | $387.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $425.70 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $425.70 | ↓ -8% |
| Coventry/First Health | Commercial | $541.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $619.20 | ↑ +33% |
| Humana | Commercial | $657.90 | ↑ +42% |
| Private Health Care Systems | PPO | $657.90 | ↑ +42% |
| Multiplan | PPO | $712.08 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pr planning advance care 1st 30 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $572.40 | $55.52 – $97.01 |
| UPMC Wellsboro | Wellsboro | $95.40 | $59.23 – $59.23 |
| WellSpan Chambersburg Hospital | Chambersburg | $234.40 | $50.00 – $425.44 |
| Uniontown Hospital | Uniontown | $117.00 | $56.10 – $204.52 |
| WellSpan Good Samaritan Hospital | Lebanon | $234.40 | $19.79 – $159.90 |