Puncture arterial withdrawal blood for diagnosis at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$58.80
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.
?
What you pay up front if you don't use insurance.
$98.00
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.
$14.30 with UPMC Health Plan vs $135.18 with Aetna — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $14.30 | ↓ -76% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $14.30 | ↓ -76% |
| Aetna | CHIP/Medicaid | $16.90 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.28 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $20.24 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.57 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $22.15 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $29.83 | ↓ -49% |
| Aetna | Neighborhood Network | $35.28 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $35.55 | ↓ -40% |
| Aetna | EBR FI | $38.22 | ↓ -35% |
| Aetna | Home Depot Employer Group | $38.42 | ↓ -35% |
| Cigna | Commercial | $39.20 | ↓ -33% |
| Aetna | EBR ASO | $39.20 | ↓ -33% |
| Cigna | New Business ASO | $39.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $39.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $39.95 | ↓ -32% |
| InterGroup | PPO | $49.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $59.92 | ↑ +2% |
| UPMC Health Plan | Commercial | $61.21 | ↑ +4% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $62.94 | ↑ +7% |
| UPMC Health Plan | CHIP | $67.42 | ↑ +15% |
| Coventry/First Health | Commercial | $68.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $78.40 | ↑ +33% |
| Humana | Commercial | $83.30 | ↑ +42% |
| Private Health Care Systems | PPO | $83.30 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $84.30 | ↑ +43% |
| Multiplan | PPO | $90.16 | ↑ +53% |
| UPMC Health Plan | Managed Medicare | $115.01 | ↑ +96% |
| UPMC Health Plan | Partners/Select | $126.06 | ↑ +114% |
| Aetna of PA | Medicare | $129.03 | ↑ +119% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↑ +126% |
| AmeriHealth Caritas | Medicare | $132.72 | ↑ +126% |
| United Healthcare | Medicare | $132.72 | ↑ +126% |
| Aetna | Medicare | $135.18 | ↑ +130% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Puncture arterial withdrawal blood for diagnosis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $55.80 | $14.30 – $135.18 |
| UPMC Passavant-McCandless | Pittsburgh | $58.80 | $14.30 – $135.18 |
| UPMC Presbyterian | Pittsburgh | $109.20 | $13.00 – $135.18 |
| UPMC St. Margaret | Pittsburgh | $66.60 | $14.30 – $135.18 |
| UPMC Altoona | Altoona | $82.80 | $13.00 – $110.40 |
| UPMC Bedford | Everett | $114.60 | $13.00 – $171.90 |
| UPMC Carlisle | Carlisle | $248.40 | $16.51 – $351.90 |
| UPMC Cole | Coudersport | $103.20 | $13.65 – $771.51 |