Radphm quant measure sgl area add-on at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,764.20
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.
$4,607.00
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.
$44.15 with Highmark BCBS of PA vs $4,238.44 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 | $44.15 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $88.75 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $88.75 | ↓ -97% |
| Aetna | Medicare | $90.95 | ↓ -97% |
| Aetna | CHIP/Medicaid | $104.88 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $119.65 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $122.03 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $125.59 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $127.67 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $127.74 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $137.49 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $148.11 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $171.07 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity | $198.35 | ↓ -93% |
| Highmark BCBS of PA | UPMC Emergent | $256.61 | ↓ -91% |
| UPMC Health Plan | CHIP | $1,612.45 | ↓ -42% |
| Aetna | Neighborhood Network | $1,658.52 | ↓ -40% |
| Aetna | EBR FI | $1,796.73 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,805.94 | ↓ -35% |
| Cigna | New Business ASO | $1,842.80 | ↓ -33% |
| Aetna | EBR ASO | $1,842.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,842.80 | ↓ -33% |
| Cigna | Commercial | $1,842.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,004.05 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,303.50 | ↓ -17% |
| InterGroup | PPO | $2,303.50 | ↓ -17% |
| Coventry/First Health | Commercial | $3,224.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,685.60 | ↑ +33% |
| Humana | Commercial | $3,915.95 | ↑ +42% |
| Private Health Care Systems | PPO | $3,915.95 | ↑ +42% |
| Multiplan | PPO | $4,238.44 | ↑ +53% |
Visitor-reported prices
Comments
Radphm quant measure sgl area add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,764.20 | $44.15 – $141.89 |
| UPMC Presbyterian | Pittsburgh | $3,906.60 | $44.15 – $160.78 |
| UPMC Muncy | Muncy | $2,767.80 | $80.00 – $137.49 |
| UPMC Wellsboro | Wellsboro | $3,347.20 | $80.00 – $137.49 |
| UPMC Williamsport | Williamsport | $2,767.80 | $80.00 – $137.49 |
| Uniontown Hospital | Uniontown | $114.00 | $15.96 – $78.13 |