Sarscov coronavirus ag ia at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$39.00
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.
$65.00
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.
$20.88 with Aetna vs $381.27 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $20.88 | ↓ -46% |
| Aetna | EBR FI | $22.62 | ↓ -42% |
| Aetna | Home Depot Employer Group | $22.74 | ↓ -42% |
| Cigna | Commercial | $23.20 | ↓ -41% |
| Cigna | New Business ASO | $23.20 | ↓ -41% |
| Aetna | NBR ASO/FI | $23.20 | ↓ -41% |
| Aetna | EBR ASO | $23.20 | ↓ -41% |
| InterGroup | PPO | $29.00 | ↓ -26% |
| UPMC Health Plan | Managed Medicare | $33.07 | ↓ -15% |
| UPMC Health Plan | Commercial | $33.69 | ↓ -14% |
| UPMC Work Partners | Workers Comp | $34.92 | ↓ -10% |
| UPMC Health Plan | Partners/Select | $36.24 | ↓ -7% |
| Aetna of PA | Medicare | $37.10 | ↓ -5% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.15 | ↓ -2% |
| AmeriHealth Caritas | Medicare | $38.16 | ↓ -2% |
| United Healthcare | Medicare | $38.16 | ↓ -2% |
| UPMC Health Plan | Managed Medicaid | $38.43 | ↓ -1% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $38.43 | ↓ -1% |
| Aetna | Medicare | $38.86 | ↓ -0% |
| Coventry/First Health | Commercial | $40.60 | ↑ +4% |
| Aetna | CHIP/Medicaid | $45.42 | ↑ +16% |
| Preferred Healthcare System | PPO | $46.40 | ↑ +19% |
| Private Health Care Systems | PPO | $49.30 | ↑ +26% |
| Humana | Commercial | $49.30 | ↑ +26% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.82 | ↑ +33% |
| Multiplan | PPO | $53.36 | ↑ +37% |
| Geisinger | Medicaid/CHIP | $54.39 | ↑ +39% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.29 | ↑ +42% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $59.54 | ↑ +53% |
| UPMC Health Plan | CHIP | $61.60 | ↑ +58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $84.87 | ↑ +118% |
| Highmark BCBS of PA | Managed Care - Social Mission | $134.91 | ↑ +246% |
| Highmark BCBS of PA | Managed Care | $180.68 | ↑ +363% |
| Highmark BCBS of PA | UPMC Emergent | $271.03 | ↑ +595% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $284.70 | ↑ +630% |
| Highmark BCBS of PA | Commercial - Indemnity | $381.27 | ↑ +878% |
Visitor-reported prices
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Sarscov coronavirus ag ia at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $34.80 | $29.45 – $84.07 |
| UPMC Passavant-McCandless | Pittsburgh | $39.00 | $28.80 – $84.87 |
| UPMC Presbyterian | Pittsburgh | $34.80 | $33.93 – $84.87 |
| UPMC St. Margaret | Pittsburgh | $34.80 | $29.04 – $84.87 |
| UPMC Western Psychiatric | Pittsburgh | $34.80 | $35.33 – $83.17 |
| UPMC Altoona | Altoona | $34.80 | $29.00 – $84.07 |
| UPMC Bedford | Everett | $34.80 | $12.75 – $52.20 |
| UPMC Carlisle | Carlisle | $84.60 | $17.76 – $119.85 |