Prev med cnsl indiv apprx 60 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$282.60
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.
$471.00
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.
$36.08 with Aetna of PA vs $433.32 with Multiplan — 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $36.08 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $44.30 | ↓ -84% |
| Aetna | CHIP/Medicaid | $84.78 | ↓ -70% |
| Aetna | Medicare | $96.11 | ↓ -66% |
| UPMC Health Plan | Commercial | $120.30 | ↓ -57% |
| UPMC Health Plan | CHIP | $125.89 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $148.61 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $150.69 | ↓ -47% |
| Aetna | Neighborhood Network | $169.56 | ↓ -40% |
| Aetna | EBR FI | $183.69 | ↓ -35% |
| Aetna | Home Depot Employer Group | $184.63 | ↓ -35% |
| Cigna | New Business ASO | $188.40 | ↓ -33% |
| Aetna | EBR ASO | $188.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $188.40 | ↓ -33% |
| Cigna | Commercial | $188.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $199.02 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $201.82 | ↓ -29% |
| InterGroup | PPO | $235.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $235.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $259.05 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $259.05 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $302.73 | ↑ +7% |
| Coventry/First Health | Commercial | $329.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $376.80 | ↑ +33% |
| Humana | Commercial | $400.35 | ↑ +42% |
| Private Health Care Systems | PPO | $400.35 | ↑ +42% |
| Multiplan | PPO | $433.32 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Prev med cnsl indiv apprx 60 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $148.80 | $49.60 – $234.82 |
| UPMC Somerset | Somerset | $148.80 | $43.44 – $75.40 |
| UPMC Wellsboro | Wellsboro | $412.00 | $74.88 – $74.88 |