Psych test eval svc phys/qhp ea addl hr at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$322.80
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.
$538.00
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.
$55.13 with Highmark BCBS of PA vs $494.96 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $55.13 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $74.25 | ↓ -77% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $74.25 | ↓ -77% |
| Aetna | CHIP/Medicaid | $87.75 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $100.10 | ↓ -69% |
| Aetna | Medicare | $104.74 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $105.08 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $106.81 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $108.34 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $115.03 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $168.25 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $184.93 | ↓ -43% |
| UPMC Health Plan | CHIP | $188.30 | ↓ -42% |
| Aetna | Neighborhood Network | $193.68 | ↓ -40% |
| Aetna | EBR FI | $209.82 | ↓ -35% |
| Aetna | Home Depot Employer Group | $210.90 | ↓ -35% |
| Cigna | New Business ASO | $215.20 | ↓ -33% |
| Cigna | Commercial | $215.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $215.20 | ↓ -33% |
| Aetna | EBR ASO | $215.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $225.33 | ↓ -30% |
| UPMC Health Plan | Commercial | $234.03 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity | $247.66 | ↓ -23% |
| InterGroup | PPO | $269.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $269.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $337.99 | ↑ +5% |
| Coventry/First Health | Commercial | $376.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $430.40 | ↑ +33% |
| Private Health Care Systems | PPO | $457.30 | ↑ +42% |
| Humana | Commercial | $457.30 | ↑ +42% |
| Multiplan | PPO | $494.96 | ↑ +53% |
Visitor-reported prices
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Psych test eval svc phys/qhp ea addl hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Western Psychiatric | Pittsburgh | $559.80 | $54.02 – $54.02 |
| UPMC Community Osteopathic | Harrisburg | $183.60 | $260.10 – $260.10 |
| UPMC Somerset | Somerset | $183.60 | $71.79 – $77.53 |