Rbc serum pretx incubj drugs at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$194.40
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.
$324.00
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.
$45.22 with UPMC Health Plan vs $418.48 with Aetna — 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 | Commercial | $45.22 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $51.42 | ↓ -74% |
| Aetna | CHIP/Medicaid | $55.08 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $81.73 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $109.46 | ↓ -44% |
| Aetna | Neighborhood Network | $110.16 | ↓ -43% |
| Aetna | EBR FI | $119.34 | ↓ -39% |
| Aetna | Home Depot Employer Group | $119.95 | ↓ -38% |
| Aetna | EBR ASO | $122.40 | ↓ -37% |
| Cigna | Commercial | $122.40 | ↓ -37% |
| Cigna | New Business ASO | $122.40 | ↓ -37% |
| Aetna | NBR ASO/FI | $122.40 | ↓ -37% |
| InterGroup | PPO | $153.00 | ↓ -21% |
| UPMC Health Plan | CHIP | $155.34 | ↓ -20% |
| Highmark BCBS of PA | UPMC Emergent | $164.19 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $168.30 | ↓ -13% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $168.30 | ↓ -13% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $172.47 | ↓ -11% |
| Coventry/First Health | Commercial | $214.20 | ↑ +10% |
| Highmark BCBS of PA | Commercial - Indemnity | $230.97 | ↑ +19% |
| Preferred Healthcare System | PPO | $244.80 | ↑ +26% |
| Humana | Commercial | $260.10 | ↑ +34% |
| Private Health Care Systems | PPO | $260.10 | ↑ +34% |
| Multiplan | PPO | $281.52 | ↑ +45% |
| UPMC Health Plan | Managed Medicare | $356.05 | ↑ +83% |
| UPMC Health Plan | Partners/Select | $390.26 | ↑ +101% |
| Aetna of PA | Medicare | $399.46 | ↑ +105% |
| Highmark Wholecare (prev Gateway) | Medicare | $410.84 | ↑ +111% |
| United Healthcare | Medicare | $410.88 | ↑ +111% |
| AmeriHealth Caritas | Medicare | $410.88 | ↑ +111% |
| Aetna | Medicare | $418.48 | ↑ +115% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Rbc serum pretx incubj drugs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $192.60 | $43.11 – $418.48 |
| UPMC Presbyterian | Pittsburgh | $691.20 | $45.49 – $418.48 |
| UPMC St. Margaret | Pittsburgh | $691.20 | $43.22 – $418.48 |
| UPMC Bedford | Everett | $316.80 | $43.32 – $475.20 |
| UPMC Horizon-Greenville | Greenville | $205.80 | $43.27 – $410.88 |
| UPMC Jameson | New Castle | $213.00 | $2.36 – $410.88 |
| UPMC Muncy | Muncy | $189.60 | $294.81 – $294.81 |
| UPMC Wellsboro | Wellsboro | $229.60 | $294.81 – $294.81 |