Rpl non-tun cvc wo sbq prt/pmp at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,546.60
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.
$5,911.00
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.
$547.03 with UPMC Work Partners vs $5,438.12 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $547.03 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $589.95 | ↓ -83% |
| UPMC Health Plan | Commercial | $857.02 | ↓ -76% |
| Aetna | CHIP/Medicaid | $1,063.98 | ↓ -70% |
| UPMC Health Plan | CHIP | $1,384.21 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $1,386.09 | ↓ -61% |
| UPMC Health Plan | Partners/Select | $1,519.23 | ↓ -57% |
| Aetna of PA | Medicare | $1,555.07 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.35 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↓ -55% |
| United Healthcare | Medicare | $1,599.50 | ↓ -55% |
| Aetna | Medicare | $1,629.12 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,706.79 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,978.90 | ↓ -44% |
| Aetna | Neighborhood Network | $2,127.96 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $2,285.71 | ↓ -36% |
| Aetna | EBR FI | $2,305.29 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,317.11 | ↓ -35% |
| Aetna | EBR ASO | $2,364.40 | ↓ -33% |
| Cigna | New Business ASO | $2,364.40 | ↓ -33% |
| Cigna | Commercial | $2,364.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,364.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,650.18 | ↓ -25% |
| InterGroup | PPO | $2,955.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $3,251.05 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,251.05 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $3,428.58 | ↓ -3% |
| Coventry/First Health | Commercial | $4,137.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $4,728.80 | ↑ +33% |
| Humana | Commercial | $5,024.35 | ↑ +42% |
| Private Health Care Systems | PPO | $5,024.35 | ↑ +42% |
| Multiplan | PPO | $5,438.12 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Rpl non-tun cvc wo sbq prt/pmp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,587.20 | $444.00 – $1,629.12 |
| UPMC Presbyterian | Pittsburgh | $3,610.80 | $526.62 – $1,629.12 |
| UPMC Carlisle | Carlisle | $3,588.60 | $572.47 – $5,083.85 |
| UPMC Community Osteopathic | Harrisburg | $3,588.60 | $572.47 – $5,083.85 |
| UPMC East | Monroeville | $2,449.20 | $547.03 – $3,265.60 |
| UPMC Hamot | Erie | $1,284.00 | $547.03 – $2,154.03 |
| UPMC Northwest | Seneca | $2,025.00 | $547.03 – $1,599.50 |
| UPMC Hanover | Hanover | $3,588.60 | $572.47 – $2,374.40 |