Shoe post-op mens m at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$526.20
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.
$877.00
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.
$7.27 with Aetna vs $2,949.11 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 | Medicare | $7.27 | ↓ -99% |
| Aetna | CHIP/Medicaid | $12.06 | ↓ -98% |
| Aetna | Neighborhood Network | $24.12 | ↓ -95% |
| Aetna | EBR FI | $26.13 | ↓ -95% |
| Aetna | Home Depot Employer Group | $26.26 | ↓ -95% |
| Cigna | New Business ASO | $26.80 | ↓ -95% |
| Aetna | NBR ASO/FI | $26.80 | ↓ -95% |
| Aetna | EBR ASO | $26.80 | ↓ -95% |
| Cigna | Commercial | $26.80 | ↓ -95% |
| InterGroup | PPO | $33.50 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $33.50 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $36.85 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $36.85 | ↓ -93% |
| UPMC Health Plan | CHIP | $43.29 | ↓ -92% |
| Coventry/First Health | Commercial | $46.90 | ↓ -91% |
| Preferred Healthcare System | PPO | $53.60 | ↓ -90% |
| Private Health Care Systems | PPO | $56.95 | ↓ -89% |
| Humana | Commercial | $56.95 | ↓ -89% |
| Multiplan | PPO | $61.64 | ↓ -88% |
| UPMC Health Plan | Commercial | $66.87 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $179.40 | ↓ -66% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $431.60 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,447.71 | ↑ +175% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,468.00 | ↑ +179% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,938.81 | ↑ +268% |
| Highmark BCBS of PA | Managed Care | $1,966.06 | ↑ +274% |
| Highmark BCBS of PA | UPMC Emergent | $2,949.11 | ↑ +460% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Shoe post-op mens m at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $315.60 | $69.99 – $431.60 |
| UPMC Cole | Coudersport | $186.60 | $43.29 – $248.80 |
| UPMC Kane | Kane | $32.40 | $31.88 – $172.64 |
| UPMC Wellsboro | Wellsboro | $75.60 | $17.01 – $85.05 |