Tomosynthesis breast diagnostic left at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$138.00
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.
$230.00
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.
$16.34 with Highmark BCBS of PA vs $160.08 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 | $16.34 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $47.29 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $47.86 | ↓ -65% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $47.86 | ↓ -65% |
| Aetna | Medicare | $51.94 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $54.82 | ↓ -60% |
| Aetna | CHIP/Medicaid | $56.56 | ↓ -59% |
| UPMC Health Plan | CHIP | $60.90 | ↓ -56% |
| Aetna | Neighborhood Network | $62.64 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $63.32 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $64.53 | ↓ -53% |
| Geisinger | Medicaid/CHIP | $67.73 | ↓ -51% |
| Aetna | EBR FI | $67.86 | ↓ -51% |
| Aetna | Home Depot Employer Group | $68.21 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $68.85 | ↓ -50% |
| Aetna | NBR ASO/FI | $69.60 | ↓ -50% |
| Cigna | New Business ASO | $69.60 | ↓ -50% |
| Cigna | Commercial | $69.60 | ↓ -50% |
| Aetna | EBR ASO | $69.60 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity | $73.42 | ↓ -47% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $74.15 | ↓ -46% |
| UPMC Health Plan | Commercial | $75.69 | ↓ -45% |
| InterGroup | PPO | $87.00 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $87.00 | ↓ -37% |
| Highmark BCBS of PA | UPMC Emergent | $94.99 | ↓ -31% |
| Coventry/First Health | Commercial | $121.80 | ↓ -12% |
| Preferred Healthcare System | PPO | $139.20 | ↑ +1% |
| Humana | Commercial | $147.90 | ↑ +7% |
| Private Health Care Systems | PPO | $147.90 | ↑ +7% |
| Multiplan | PPO | $160.08 | ↑ +16% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $93.00 | $16.34 – $74.15 |
| UPMC St. Margaret | Pittsburgh | $123.00 | $16.34 – $74.15 |
| UPMC Altoona | Altoona | $123.00 | $16.19 – $124.00 |
| UPMC Bedford | Everett | $123.00 | $38.75 – $139.50 |
| UPMC Carlisle | Carlisle | $65.40 | $14.93 – $92.65 |
| UPMC Community Osteopathic | Harrisburg | $65.40 | $21.80 – $92.65 |
| UPMC Hamot | Erie | $123.00 | $16.19 – $74.15 |
| UPMC Northwest | Seneca | $123.00 | $42.02 – $74.15 |