Tc-99m pyroph diag per dose up to 25 mci at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$235.80
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.
?
What you pay up front if you don't use insurance.
$393.00
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.
$61.62 with Highmark BCBS of PA vs $421.08 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $61.62 | ↓ -74% |
| Aetna | CHIP/Medicaid | $70.74 | ↓ -70% |
| Aetna | Medicare | $71.86 | ↓ -70% |
| Aetna | Neighborhood Network | $141.48 | ↓ -40% |
| Aetna | EBR FI | $153.27 | ↓ -35% |
| Aetna | Home Depot Employer Group | $154.06 | ↓ -35% |
| Cigna | New Business ASO | $157.20 | ↓ -33% |
| Aetna | EBR ASO | $157.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $157.20 | ↓ -33% |
| Cigna | Commercial | $157.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $185.08 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $196.50 | ↓ -17% |
| InterGroup | PPO | $196.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $206.71 | ↓ -12% |
| Highmark BCBS of PA | Managed Care - Social Mission | $209.60 | ↓ -11% |
| Geisinger | Medicaid/CHIP | $216.15 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $216.15 | ↓ -8% |
| Coventry/First Health | Commercial | $275.10 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $276.83 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $280.72 | ↑ +19% |
| UPMC Health Plan | Commercial | $285.92 | ↑ +21% |
| Preferred Healthcare System | PPO | $314.40 | ↑ +33% |
| Humana | Commercial | $334.05 | ↑ +42% |
| Private Health Care Systems | PPO | $334.05 | ↑ +42% |
| Multiplan | PPO | $361.56 | ↑ +53% |
| Highmark BCBS of PA | UPMC Emergent | $421.08 | ↑ +79% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m pyroph diag per dose up to 25 mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $244.80 | $61.04 – $146.15 |
| UPMC Passavant-McCandless | Pittsburgh | $382.20 | $61.62 – $268.57 |
| UPMC Presbyterian | Pittsburgh | $602.40 | $61.62 – $299.24 |
| UPMC St. Margaret | Pittsburgh | $276.00 | $61.62 – $227.11 |
| UPMC Altoona | Altoona | $211.80 | $61.04 – $282.40 |
| UPMC Carlisle | Carlisle | $232.20 | $53.02 – $328.95 |
| UPMC Cole | Coudersport | $118.80 | $54.89 – $158.40 |
| UPMC Community Osteopathic | Harrisburg | $232.20 | $19.89 – $328.95 |