Pt application of modality >=1 area hot/cold packs at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$64.20
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.
$107.00
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.
$4.59 with Aetna vs $110.73 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $4.59 | ↓ -93% |
| Aetna | CHIP/Medicaid | $19.26 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $20.59 | ↓ -68% |
| Aetna | Neighborhood Network | $38.52 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $40.26 | ↓ -37% |
| Aetna | EBR FI | $41.73 | ↓ -35% |
| Aetna | Home Depot Employer Group | $41.94 | ↓ -35% |
| Cigna | New Business ASO | $42.80 | ↓ -33% |
| Aetna | EBR ASO | $42.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $42.80 | ↓ -33% |
| Cigna | Commercial | $42.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $51.37 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $53.50 | ↓ -17% |
| InterGroup | PPO | $53.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $58.85 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $58.85 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $68.79 | ↑ +7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $69.05 | ↑ +8% |
| Coventry/First Health | Commercial | $74.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $85.60 | ↑ +33% |
| Private Health Care Systems | PPO | $90.95 | ↑ +42% |
| Humana | Commercial | $90.95 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $92.47 | ↑ +44% |
| Multiplan | PPO | $98.44 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $103.19 | ↑ +61% |
| UPMC Health Plan | Commercial | $110.73 | ↑ +72% |
Visitor-reported prices
Comments
Pt application of modality >=1 area hot/cold packs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $125.40 | $20.39 – $56.60 |
| UPMC Passavant-McCandless | Pittsburgh | $91.20 | $20.59 – $104.02 |
| UPMC Presbyterian | Pittsburgh | $159.00 | $20.10 – $115.89 |
| UPMC St. Margaret | Pittsburgh | $63.60 | $20.59 – $87.96 |
| UPMC Carlisle | Carlisle | $78.60 | $16.17 – $387.00 |
| UPMC Cole | Coudersport | $64.20 | $6.25 – $85.60 |
| UPMC East | Monroeville | $70.20 | $20.59 – $93.60 |
| UPMC Northwest | Seneca | $64.80 | $37.94 – $86.74 |