Sinus/juglr venogram s&i at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,500.80
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.
$4,168.00
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.
$27.50 with UPMC Health Plan vs $3,834.56 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 | $27.50 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $27.50 | ↓ -99% |
| Aetna | CHIP/Medicaid | $32.50 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.08 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $38.92 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.56 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $42.60 | ↓ -98% |
| UPMC Health Plan | Commercial | $553.74 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $610.44 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $1,312.63 | ↓ -48% |
| Aetna | Neighborhood Network | $1,500.48 | ↓ -40% |
| Aetna | EBR FI | $1,625.52 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,633.86 | ↓ -35% |
| Cigna | New Business ASO | $1,667.20 | ↓ -33% |
| Aetna | EBR ASO | $1,667.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,667.20 | ↓ -33% |
| Cigna | Commercial | $1,667.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,766.08 | ↓ -29% |
| UPMC Health Plan | CHIP | $1,902.32 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,047.63 | ↓ -18% |
| InterGroup | PPO | $2,084.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $2,365.10 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,742.23 | ↑ +10% |
| UPMC Health Plan | Managed Medicare | $2,808.41 | ↑ +12% |
| Coventry/First Health | Commercial | $2,917.60 | ↑ +17% |
| UPMC Health Plan | Partners/Select | $3,078.18 | ↑ +23% |
| Aetna of PA | Medicare | $3,150.80 | ↑ +26% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↑ +30% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↑ +30% |
| United Healthcare | Medicare | $3,240.82 | ↑ +30% |
| Aetna | Medicare | $3,300.84 | ↑ +32% |
| Preferred Healthcare System | PPO | $3,334.40 | ↑ +33% |
| Humana | Commercial | $3,542.80 | ↑ +42% |
| Private Health Care Systems | PPO | $3,542.80 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $3,547.67 | ↑ +42% |
| Multiplan | PPO | $3,834.56 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sinus/juglr venogram s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,226.60 | $27.50 – $3,300.84 |
| UPMC Presbyterian | Pittsburgh | $9,229.80 | $18.00 – $3,300.84 |
| UPMC Altoona | Altoona | $3,778.20 | $15.00 – $5,037.60 |
| UPMC Carlisle | Carlisle | $5,906.40 | $19.65 – $8,367.40 |
| UPMC Community Osteopathic | Harrisburg | $5,906.40 | $19.65 – $8,367.40 |
| UPMC East | Monroeville | $5,562.00 | $27.50 – $7,416.00 |
| UPMC Hamot | Erie | $1,674.00 | $27.50 – $4,114.32 |
| UPMC Hanover | Hanover | $5,906.40 | $19.65 – $4,810.90 |