Tc-99m non-heu per study dose at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$15.60
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.
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What you pay up front if you don't use insurance.
$26.00
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.
$4.50 with Aetna vs $28.74 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 | $4.50 | ↓ -71% |
| UPMC Health Plan | CHIP | $8.75 | ↓ -44% |
| Aetna | Neighborhood Network | $9.00 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $9.36 | ↓ -40% |
| Aetna | EBR FI | $9.75 | ↓ -38% |
| Aetna | Home Depot Employer Group | $9.80 | ↓ -37% |
| Cigna | New Business ASO | $10.00 | ↓ -36% |
| Aetna | EBR ASO | $10.00 | ↓ -36% |
| Cigna | Commercial | $10.00 | ↓ -36% |
| Aetna | NBR ASO/FI | $10.00 | ↓ -36% |
| UPMC Health Plan | Partners/Select | $10.26 | ↓ -34% |
| Aetna of PA | Medicare | $10.50 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $10.80 | ↓ -31% |
| United Healthcare | Medicare | $10.80 | ↓ -31% |
| AmeriHealth Caritas | Medicare | $10.80 | ↓ -31% |
| UPMC Health Plan | Commercial | $10.88 | ↓ -30% |
| Aetna | Medicare | $11.00 | ↓ -29% |
| InterGroup | PPO | $12.50 | ↓ -20% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $12.50 | ↓ -20% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13.75 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $13.75 | ↓ -12% |
| Coventry/First Health | Commercial | $17.50 | ↑ +12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $18.55 | ↑ +19% |
| Highmark BCBS of PA | Commercial - Indemnity | $18.55 | ↑ +19% |
| Highmark BCBS of PA | Managed Care | $19.16 | ↑ +23% |
| Highmark BCBS of PA | Managed Care - Social Mission | $19.16 | ↑ +23% |
| Preferred Healthcare System | PPO | $20.00 | ↑ +28% |
| Private Health Care Systems | PPO | $21.25 | ↑ +36% |
| Humana | Commercial | $21.25 | ↑ +36% |
| Multiplan | PPO | $23.00 | ↑ +47% |
| Highmark BCBS of PA | UPMC Emergent | $28.74 | ↑ +84% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m non-heu per study dose at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $15.00 | $8.34 – $11.00 |
| UPMC Passavant-McCandless | Pittsburgh | $15.00 | $9.29 – $11.00 |
| UPMC Presbyterian | Pittsburgh | $15.00 | $10.80 – $11.00 |
| UPMC St. Margaret | Pittsburgh | $15.00 | $8.63 – $11.00 |
| UPMC Altoona | Altoona | $15.00 | $8.75 – $20.00 |
| UPMC Bedford | Everett | $15.00 | $3.61 – $22.50 |
| UPMC East | Monroeville | $15.00 | $8.50 – $20.00 |
| UPMC Hamot | Erie | $15.00 | $10.00 – $10.80 |