Rpl tun-cvad w subq port at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$4,873.20
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.
$8,122.00
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.
$301.63 with UPMC Health Plan vs $7,472.24 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 Health Plan | Managed Medicaid | $301.63 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $301.63 | ↓ -94% |
| Aetna | CHIP/Medicaid | $356.47 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $406.65 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $426.86 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $433.91 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $467.31 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $903.55 | ↓ -81% |
| UPMC Health Plan | Commercial | $1,438.89 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $2,154.73 | ↓ -56% |
| UPMC Health Plan | CHIP | $2,324.00 | ↓ -52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,614.07 | ↓ -46% |
| UPMC Health Plan | Managed Medicare | $2,808.41 | ↓ -42% |
| Aetna | Neighborhood Network | $2,923.92 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,030.82 | ↓ -38% |
| UPMC Health Plan | Partners/Select | $3,078.18 | ↓ -37% |
| Aetna of PA | Medicare | $3,150.80 | ↓ -35% |
| Aetna | EBR FI | $3,167.58 | ↓ -35% |
| Aetna | Home Depot Employer Group | $3,183.82 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↓ -34% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↓ -33% |
| United Healthcare | Medicare | $3,240.82 | ↓ -33% |
| Cigna | New Business ASO | $3,248.80 | ↓ -33% |
| Aetna | EBR ASO | $3,248.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $3,248.80 | ↓ -33% |
| Cigna | Commercial | $3,248.80 | ↓ -33% |
| Aetna | Medicare | $3,300.84 | ↓ -32% |
| Highmark BCBS of PA | Managed Care | $3,500.72 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,058.94 | ↓ -17% |
| InterGroup | PPO | $4,061.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $5,251.11 | ↑ +8% |
| Coventry/First Health | Commercial | $5,685.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $6,497.60 | ↑ +33% |
| Humana | Commercial | $6,903.70 | ↑ +42% |
| Private Health Care Systems | PPO | $6,903.70 | ↑ +42% |
| Multiplan | PPO | $7,472.24 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rpl tun-cvad w subq port at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $5,743.20 | $301.63 – $3,300.84 |
| UPMC Presbyterian | Pittsburgh | $6,799.20 | $301.63 – $3,300.84 |
| UPMC Altoona | Altoona | $5,757.00 | $274.21 – $7,676.00 |
| UPMC Carlisle | Carlisle | $8,004.00 | $348.25 – $11,339.00 |
| UPMC Cole | Coudersport | $1,446.00 | $287.92 – $2,154.73 |
| UPMC Community Osteopathic | Harrisburg | $8,004.00 | $370.18 – $11,339.00 |
| UPMC East | Monroeville | $3,746.40 | $301.63 – $4,995.20 |
| UPMC Hanover | Hanover | $8,004.00 | $348.25 – $4,810.90 |