Transplj hematopoietic boost at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$576.60
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.
$961.00
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.
$97.62 with Highmark BCBS of PA vs $1,719.15 with Aetna — 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 | $97.62 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $99.79 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $99.79 | ↓ -83% |
| Aetna | CHIP/Medicaid | $117.94 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $134.54 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $141.22 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $143.56 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $154.61 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $161.83 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $282.41 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $327.43 | ↓ -43% |
| UPMC Health Plan | CHIP | $336.35 | ↓ -42% |
| Aetna | Neighborhood Network | $345.96 | ↓ -40% |
| Aetna | EBR FI | $374.79 | ↓ -35% |
| Aetna | Home Depot Employer Group | $376.71 | ↓ -35% |
| Highmark BCBS of PA | Managed Care | $378.20 | ↓ -34% |
| Cigna | Commercial | $384.40 | ↓ -33% |
| Cigna | New Business ASO | $384.40 | ↓ -33% |
| Aetna | EBR ASO | $384.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $384.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $418.04 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Indemnity | $438.51 | ↓ -24% |
| InterGroup | PPO | $480.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $567.30 | ↓ -2% |
| Coventry/First Health | Commercial | $672.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $768.80 | ↑ +33% |
| Humana | Commercial | $816.85 | ↑ +42% |
| Private Health Care Systems | PPO | $816.85 | ↑ +42% |
| Multiplan | PPO | $884.12 | ↑ +53% |
| UPMC Health Plan | Managed Medicare | $1,462.68 | ↑ +154% |
| UPMC Health Plan | Partners/Select | $1,603.18 | ↑ +178% |
| Aetna of PA | Medicare | $1,641.00 | ↑ +185% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,687.73 | ↑ +193% |
| AmeriHealth Caritas | Medicare | $1,687.89 | ↑ +193% |
| Aetna | Medicare | $1,719.15 | ↑ +198% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Transplj hematopoietic boost at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,437.00 | $97.62 – $1,719.15 |