healthcosts.net
Sleep Study (Polysomnography) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$8,373.60
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.
?
What you pay up front if you don't use insurance.
$13,956.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$381.22 with UPMC Health Plan vs $12,839.52 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $381.22 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $381.22 | ↓ -95% |
| Aetna | CHIP/Medicaid | $450.53 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $509.36 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $513.95 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $539.49 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $548.40 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $590.61 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $907.79 | ↓ -89% |
| UPMC Health Plan | CHIP | $944.22 | ↓ -89% |
| UPMC Health Plan | Partners/Select | $994.98 | ↓ -88% |
| Aetna of PA | Medicare | $1,018.46 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,047.46 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $1,047.56 | ↓ -87% |
| United Healthcare | Medicare | $1,047.56 | ↓ -87% |
| Aetna | Medicare | $1,066.96 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $1,069.07 | ↓ -87% |
| UPMC Health Plan | Commercial | $1,458.66 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,554.48 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,708.55 | ↓ -80% |
| Highmark BCBS of PA | Managed Care | $2,081.78 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,288.13 | ↓ -73% |
| Highmark BCBS of PA | UPMC Emergent | $3,122.67 | ↓ -63% |
| Aetna | Neighborhood Network | $5,024.16 | ↓ -40% |
| Aetna | EBR FI | $5,442.84 | ↓ -35% |
| Aetna | Home Depot Employer Group | $5,470.75 | ↓ -35% |
| Aetna | NBR ASO/FI | $5,582.40 | ↓ -33% |
| Cigna | New Business ASO | $5,582.40 | ↓ -33% |
| Cigna | Commercial | $5,582.40 | ↓ -33% |
| Aetna | EBR ASO | $5,582.40 | ↓ -33% |
| InterGroup | PPO | $6,978.00 | ↓ -17% |
| Coventry/First Health | Commercial | $9,769.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $11,164.80 | ↑ +33% |
| Private Health Care Systems | PPO | $11,862.60 | ↑ +42% |
| Humana | Commercial | $11,862.60 | ↑ +42% |
| Multiplan | PPO | $12,839.52 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sleep Study (Polysomnography) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,373.60 | $381.22 – $11,862.60 |
| UPMC Mercy | Pittsburgh | $5,773.80 | $381.22 – $8,660.70 |
| UPMC Presbyterian | Pittsburgh | $7,861.80 | $324.38 – $11,137.55 |
| UPMC St. Margaret | Pittsburgh | $4,569.00 | $381.22 – $6,472.75 |
| UPMC Hamot | Erie | $2,098.80 | $281.14 – $2,448.60 |
| UPMC Carlisle | Carlisle | $4,279.20 | $354.12 – $5,320.15 |
| UPMC Altoona | Altoona | $2,265.00 | $270.32 – $3,020.00 |
| UPMC Bedford | Everett | $3,163.20 | $349.96 – $4,744.80 |