Telehealth original site facility fee at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$107.40
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.
$179.00
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.
$15.76 with Highmark BCBS of PA vs $138.00 with Multiplan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.76 | ↓ -85% |
| Aetna | CHIP/Medicaid | $27.00 | ↓ -75% |
| Aetna | Medicare | $30.35 | ↓ -72% |
| Aetna of PA | Medicare | $36.08 | ↓ -66% |
| UPMC Health Plan | CHIP | $40.94 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $48.11 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $52.87 | ↓ -51% |
| Aetna | Neighborhood Network | $54.00 | ↓ -50% |
| Aetna | EBR FI | $58.50 | ↓ -46% |
| Aetna | Home Depot Employer Group | $58.80 | ↓ -45% |
| Cigna | New Business ASO | $60.00 | ↓ -44% |
| Aetna | EBR ASO | $60.00 | ↓ -44% |
| Aetna | NBR ASO/FI | $60.00 | ↓ -44% |
| Cigna | Commercial | $60.00 | ↓ -44% |
| UPMC Health Plan | Commercial | $63.24 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $64.42 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $70.81 | ↓ -34% |
| InterGroup | PPO | $75.00 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $75.00 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $82.50 | ↓ -23% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $82.50 | ↓ -23% |
| Highmark BCBS of PA | UPMC Emergent | $96.63 | ↓ -10% |
| Coventry/First Health | Commercial | $105.00 | ↓ -2% |
| Preferred Healthcare System | PPO | $120.00 | ↑ +12% |
| Humana | Commercial | $127.50 | ↑ +19% |
| Private Health Care Systems | PPO | $127.50 | ↑ +19% |
| Multiplan | PPO | $138.00 | ↑ +28% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Telehealth original site facility fee at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $101.40 | $15.76 – $59.40 |
| UPMC Presbyterian | Pittsburgh | $90.00 | $15.76 – $66.19 |
| UPMC Altoona | Altoona | $90.00 | $15.61 – $120.00 |
| UPMC Carlisle | Carlisle | $84.60 | $19.32 – $119.85 |
| UPMC Cole | Coudersport | $97.80 | $19.13 – $55.20 |
| UPMC Community Osteopathic | Harrisburg | $84.60 | $20.59 – $119.85 |
| UPMC Hanover | Hanover | $84.60 | $20.59 – $40.94 |
| UPMC Kane | Kane | $81.60 | $30.14 – $107.90 |