Prgrmg dev eval pm/ldls pm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$204.00
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.
$340.00
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.
$33.27 with UPMC Health Plan vs $312.80 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 | Managed Medicare | $33.27 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $34.85 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $35.42 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $35.42 | ↓ -83% |
| UPMC Health Plan | Partners/Select | $36.47 | ↓ -82% |
| Aetna of PA | Medicare | $37.33 | ↓ -82% |
| United Healthcare | Medicare | $38.39 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $38.39 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.39 | ↓ -81% |
| Aetna | Medicare | $39.10 | ↓ -81% |
| Aetna | CHIP/Medicaid | $41.86 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.75 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $50.13 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $50.95 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $54.88 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $84.28 | ↓ -59% |
| UPMC Health Plan | CHIP | $96.04 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $106.35 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $116.89 | ↓ -43% |
| Aetna | Neighborhood Network | $122.40 | ↓ -40% |
| Aetna | EBR FI | $132.60 | ↓ -35% |
| Aetna | Home Depot Employer Group | $133.28 | ↓ -35% |
| Cigna | New Business ASO | $136.00 | ↓ -33% |
| Aetna | EBR ASO | $136.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $136.00 | ↓ -33% |
| Cigna | Commercial | $136.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $142.42 | ↓ -30% |
| UPMC Health Plan | Commercial | $148.37 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Indemnity | $156.54 | ↓ -23% |
| InterGroup | PPO | $170.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $213.63 | ↑ +5% |
| Coventry/First Health | Commercial | $238.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $272.00 | ↑ +33% |
| Private Health Care Systems | PPO | $289.00 | ↑ +42% |
| Humana | Commercial | $289.00 | ↑ +42% |
| Multiplan | PPO | $312.80 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg dev eval pm/ldls pm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $298.20 | $29.63 – $94.82 |
| UPMC Passavant-McCandless | Pittsburgh | $191.40 | $33.04 – $98.00 |
| UPMC Presbyterian | Pittsburgh | $254.40 | $12.65 – $110.26 |
| UPMC St. Margaret | Pittsburgh | $121.20 | $30.69 – $84.28 |
| UPMC Cole | Coudersport | $188.40 | $33.81 – $251.20 |
| UPMC Hamot | Erie | $222.60 | $34.52 – $84.28 |
| UPMC Northwest | Seneca | $223.20 | $32.24 – $84.28 |
| UPMC Jameson | New Castle | $213.60 | $12.12 – $84.28 |