Tc-99m mertiatide at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,614.20
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.
$4,357.00
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.
$560.48 with Aetna vs $5,712.42 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 | $560.48 | ↓ -79% |
| Aetna | CHIP/Medicaid | $784.26 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $836.00 | ↓ -68% |
| UPMC Health Plan | CHIP | $1,449.95 | ↓ -45% |
| Aetna | Neighborhood Network | $1,568.52 | ↓ -40% |
| Aetna | EBR FI | $1,699.23 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,707.94 | ↓ -35% |
| Aetna | EBR ASO | $1,742.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,742.80 | ↓ -33% |
| Cigna | Commercial | $1,742.80 | ↓ -33% |
| Cigna | New Business ASO | $1,742.80 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,178.50 | ↓ -17% |
| InterGroup | PPO | $2,178.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $2,239.94 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $2,396.35 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,396.35 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,804.22 | ↑ +7% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,843.51 | ↑ +9% |
| Coventry/First Health | Commercial | $3,049.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,485.60 | ↑ +33% |
| Humana | Commercial | $3,703.45 | ↑ +42% |
| Private Health Care Systems | PPO | $3,703.45 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,755.47 | ↑ +44% |
| Highmark BCBS of PA | Managed Care | $3,808.26 | ↑ +46% |
| Multiplan | PPO | $4,008.44 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $5,712.42 | ↑ +119% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m mertiatide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,074.20 | $828.11 – $1,144.94 |
| UPMC Passavant-McCandless | Pittsburgh | $1,978.20 | $836.00 – $2,104.06 |
| UPMC Presbyterian | Pittsburgh | $2,142.00 | $836.00 – $2,344.31 |
| UPMC St. Margaret | Pittsburgh | $1,909.80 | $836.00 – $1,779.19 |
| UPMC Altoona | Altoona | $1,634.40 | $828.11 – $2,304.69 |
| UPMC Bedford | Everett | $1,771.80 | $738.25 – $2,657.70 |
| UPMC Carlisle | Carlisle | $1,284.60 | $293.32 – $1,819.85 |
| UPMC Cole | Coudersport | $587.40 | $271.38 – $783.20 |