Pretreat rbc absorption reference at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$76.20
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.
$127.00
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.
$15.49 with UPMC Health Plan vs $110.40 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 | Commercial | $15.49 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $21.28 | ↓ -72% |
| Aetna | CHIP/Medicaid | $21.60 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $33.82 | ↓ -56% |
| Aetna | Neighborhood Network | $43.20 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $45.30 | ↓ -41% |
| Aetna | EBR FI | $46.80 | ↓ -39% |
| Aetna | Home Depot Employer Group | $47.04 | ↓ -38% |
| Aetna | NBR ASO/FI | $48.00 | ↓ -37% |
| Aetna | EBR ASO | $48.00 | ↓ -37% |
| Cigna | New Business ASO | $48.00 | ↓ -37% |
| Cigna | Commercial | $48.00 | ↓ -37% |
| UPMC Health Plan | Managed Medicare | $53.00 | ↓ -30% |
| UPMC Health Plan | CHIP | $53.20 | ↓ -30% |
| UPMC Health Plan | Partners/Select | $58.09 | ↓ -24% |
| Aetna of PA | Medicare | $59.46 | ↓ -22% |
| InterGroup | PPO | $60.00 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -20% |
| United Healthcare | Medicare | $61.16 | ↓ -20% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -20% |
| Aetna | Medicare | $62.29 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $66.00 | ↓ -13% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $66.00 | ↓ -13% |
| Highmark BCBS of PA | UPMC Emergent | $67.95 | ↓ -11% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $71.38 | ↓ -6% |
| Coventry/First Health | Commercial | $84.00 | ↑ +10% |
| Highmark BCBS of PA | Commercial - Indemnity | $95.59 | ↑ +25% |
| Preferred Healthcare System | PPO | $96.00 | ↑ +26% |
| Private Health Care Systems | PPO | $102.00 | ↑ +34% |
| Humana | Commercial | $102.00 | ↑ +34% |
| Multiplan | PPO | $110.40 | ↑ +45% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc absorption reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $210.00 | $14.68 – $62.29 |
| UPMC Passavant-McCandless | Pittsburgh | $49.20 | $14.76 – $62.29 |
| UPMC Presbyterian | Pittsburgh | $892.20 | $15.58 – $62.29 |
| UPMC St. Margaret | Pittsburgh | $268.80 | $14.80 – $62.29 |
| UPMC Altoona | Altoona | $212.40 | $21.08 – $283.20 |
| UPMC Bedford | Everett | $138.60 | $14.84 – $207.90 |
| UPMC East | Monroeville | $163.80 | $14.63 – $218.40 |
| UPMC Hamot | Erie | $165.00 | $19.37 – $70.59 |