Ther/proph/diag inj ia at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$198.60
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.
?
What you pay up front if you don't use insurance.
$331.00
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.
$11.88 with United Healthcare Community Plan for Families vs $304.52 with Multiplan — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.88 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $11.88 | ↓ -94% |
| Aetna | CHIP/Medicaid | $14.04 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.02 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $16.81 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.09 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $18.41 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $27.00 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $33.12 | ↓ -83% |
| UPMC Health Plan | CHIP | $52.58 | ↓ -74% |
| UPMC Health Plan | Commercial | $81.23 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $111.10 | ↓ -44% |
| Highmark BCBS of PA | Managed Care - Social Mission | $112.65 | ↓ -43% |
| Aetna | Neighborhood Network | $119.16 | ↓ -40% |
| Aetna | EBR FI | $129.09 | ↓ -35% |
| Aetna | Home Depot Employer Group | $129.75 | ↓ -35% |
| Cigna | New Business ASO | $132.40 | ↓ -33% |
| Aetna | EBR ASO | $132.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $132.40 | ↓ -33% |
| Cigna | Commercial | $132.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $148.78 | ↓ -25% |
| Highmark BCBS of PA | Managed Care | $150.87 | ↓ -24% |
| InterGroup | PPO | $165.50 | ↓ -17% |
| UPMC Health Plan | Managed Medicare | $187.99 | ↓ -5% |
| UPMC Health Plan | Partners/Select | $206.05 | ↑ +4% |
| Aetna of PA | Medicare | $210.91 | ↑ +6% |
| Highmark Wholecare (prev Gateway) | Medicare | $216.92 | ↑ +9% |
| AmeriHealth Caritas | Medicare | $216.94 | ↑ +9% |
| United Healthcare | Medicare | $216.94 | ↑ +9% |
| Aetna | Medicare | $220.96 | ↑ +11% |
| Highmark BCBS of PA | UPMC Emergent | $226.31 | ↑ +14% |
| Coventry/First Health | Commercial | $231.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $264.80 | ↑ +33% |
| Humana | Commercial | $281.35 | ↑ +42% |
| Private Health Care Systems | PPO | $281.35 | ↑ +42% |
| Multiplan | PPO | $304.52 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ther/proph/diag inj ia at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $198.60 | $11.88 – $220.96 |
| UPMC Bedford | Everett | $205.20 | $11.34 – $307.80 |
| UPMC Cole | Coudersport | $108.00 | $11.34 – $50.40 |
| UPMC Community Osteopathic | Harrisburg | $369.00 | $13.72 – $522.75 |
| UPMC Hamot | Erie | $250.20 | $11.88 – $46.31 |
| UPMC Hanover | Hanover | $369.00 | $13.72 – $322.03 |
| UPMC Memorial | York | $369.00 | $13.72 – $323.25 |
| UPMC Muncy | Muncy | $378.00 | $11.88 – $28.89 |