Tc-99m exametazime diag at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$566.40
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.
$944.00
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.
$169.92 with Aetna vs $11,419.84 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 | CHIP/Medicaid | $169.92 | ↓ -70% |
| Aetna | Neighborhood Network | $339.84 | ↓ -40% |
| Aetna | EBR FI | $368.16 | ↓ -35% |
| Aetna | Home Depot Employer Group | $370.05 | ↓ -35% |
| Aetna | NBR ASO/FI | $377.60 | ↓ -33% |
| Aetna | EBR ASO | $377.60 | ↓ -33% |
| Cigna | Commercial | $377.60 | ↓ -33% |
| Cigna | New Business ASO | $377.60 | ↓ -33% |
| InterGroup | PPO | $472.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $519.20 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $519.20 | ↓ -8% |
| Coventry/First Health | Commercial | $660.80 | ↑ +17% |
| UPMC Health Plan | Managed Medicare | $750.91 | ↑ +33% |
| Preferred Healthcare System | PPO | $755.20 | ↑ +33% |
| Private Health Care Systems | PPO | $802.40 | ↑ +42% |
| Humana | Commercial | $802.40 | ↑ +42% |
| UPMC Health Plan | Partners/Select | $823.04 | ↑ +45% |
| Aetna of PA | Medicare | $842.46 | ↑ +49% |
| Highmark Wholecare (prev Gateway) | Medicare | $866.45 | ↑ +53% |
| United Healthcare | Medicare | $866.53 | ↑ +53% |
| AmeriHealth Caritas | Medicare | $866.53 | ↑ +53% |
| Multiplan | PPO | $868.48 | ↑ +53% |
| Aetna | Medicare | $882.57 | ↑ +56% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,671.27 | ↑ +195% |
| UPMC Health Plan | CHIP | $3,270.62 | ↑ +477% |
| UPMC Health Plan | Commercial | $5,052.59 | ↑ +792% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,605.98 | ↑ +890% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,684.54 | ↑ +904% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,507.65 | ↑ +1226% |
| Highmark BCBS of PA | Managed Care | $7,613.19 | ↑ +1244% |
| Highmark BCBS of PA | UPMC Emergent | $11,419.84 | ↑ +1916% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,733.20 | $745.61 – $1,671.27 |
| UPMC Presbyterian | Pittsburgh | $8,173.20 | $866.53 – $5,288.01 |
| UPMC St. Margaret | Pittsburgh | $1,461.00 | $692.74 – $1,671.27 |
| UPMC Altoona | Altoona | $9,344.40 | $818.23 – $12,459.20 |
| UPMC Cole | Coudersport | $1,335.00 | $616.77 – $1,780.00 |
| UPMC East | Monroeville | $9,442.80 | $802.34 – $12,590.40 |
| UPMC Hamot | Erie | $3,633.00 | $802.34 – $1,655.50 |
| UPMC Northwest | Seneca | $1,750.20 | $727.64 – $866.53 |