Pretreat rbc w chem/drugs reference at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$175.80
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.
$293.00
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.
$38.39 with UPMC Health Plan vs $253.92 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 | $38.39 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.70 | ↓ -72% |
| Aetna | CHIP/Medicaid | $49.68 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $53.00 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $58.09 | ↓ -67% |
| Aetna of PA | Medicare | $59.46 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -65% |
| United Healthcare | Medicare | $61.16 | ↓ -65% |
| Aetna | Medicare | $62.29 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $77.40 | ↓ -56% |
| Aetna | Neighborhood Network | $99.36 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $103.67 | ↓ -41% |
| Aetna | EBR FI | $107.64 | ↓ -39% |
| Aetna | Home Depot Employer Group | $108.19 | ↓ -38% |
| Aetna | NBR ASO/FI | $110.40 | ↓ -37% |
| Cigna | New Business ASO | $110.40 | ↓ -37% |
| Cigna | Commercial | $110.40 | ↓ -37% |
| Aetna | EBR ASO | $110.40 | ↓ -37% |
| UPMC Health Plan | CHIP | $131.88 | ↓ -25% |
| InterGroup | PPO | $138.00 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $151.80 | ↓ -14% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $151.80 | ↓ -14% |
| Highmark BCBS of PA | UPMC Emergent | $155.50 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $163.34 | ↓ -7% |
| Coventry/First Health | Commercial | $193.20 | ↑ +10% |
| Highmark BCBS of PA | Commercial - Indemnity | $218.75 | ↑ +24% |
| Preferred Healthcare System | PPO | $220.80 | ↑ +26% |
| Private Health Care Systems | PPO | $234.60 | ↑ +33% |
| Humana | Commercial | $234.60 | ↑ +33% |
| Multiplan | PPO | $253.92 | ↑ +44% |
| 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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Pretreat rbc w chem/drugs reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $183.60 | $36.38 – $62.29 |
| UPMC Passavant-McCandless | Pittsburgh | $110.40 | $36.60 – $62.29 |
| UPMC Presbyterian | Pittsburgh | $552.00 | $24.86 – $62.29 |
| UPMC St. Margaret | Pittsburgh | $225.60 | $36.69 – $62.29 |
| UPMC Altoona | Altoona | $359.40 | $48.24 – $479.20 |
| UPMC Bedford | Everett | $125.40 | $20.43 – $188.10 |
| UPMC Carlisle | Carlisle | $48.00 | $10.96 – $90.91 |
| UPMC Community Osteopathic | Harrisburg | $48.00 | $16.00 – $131.88 |