Trim nail(s) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$91.20
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.
$152.00
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.
$19.35 with Highmark BCBS of PA vs $139.84 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 | $19.35 | ↓ -79% |
| Aetna | CHIP/Medicaid | $27.36 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $53.00 | ↓ -42% |
| UPMC Health Plan | CHIP | $53.20 | ↓ -42% |
| Aetna | Neighborhood Network | $54.72 | ↓ -40% |
| Highmark BCBS of PA | Managed Care - Social Mission | $55.97 | ↓ -39% |
| UPMC Health Plan | Partners/Select | $58.09 | ↓ -36% |
| Aetna | EBR FI | $59.28 | ↓ -35% |
| Aetna of PA | Medicare | $59.46 | ↓ -35% |
| Aetna | Home Depot Employer Group | $59.58 | ↓ -35% |
| Cigna | Commercial | $60.80 | ↓ -33% |
| Cigna | New Business ASO | $60.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $60.80 | ↓ -33% |
| Aetna | EBR ASO | $60.80 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -33% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -33% |
| United Healthcare | Medicare | $61.16 | ↓ -33% |
| Aetna | Medicare | $62.29 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $64.90 | ↓ -29% |
| UPMC Health Plan | Commercial | $66.12 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $74.96 | ↓ -18% |
| InterGroup | PPO | $76.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $83.60 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $83.60 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $86.91 | ↓ -5% |
| Coventry/First Health | Commercial | $106.40 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $112.44 | ↑ +23% |
| Preferred Healthcare System | PPO | $121.60 | ↑ +33% |
| Humana | Commercial | $129.20 | ↑ +42% |
| Private Health Care Systems | PPO | $129.20 | ↑ +42% |
| Multiplan | PPO | $139.84 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Trim nail(s) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $105.60 | $19.16 – $62.29 |
| UPMC Passavant-McCandless | Pittsburgh | $105.60 | $19.35 – $62.29 |
| UPMC Altoona | Altoona | $117.60 | $19.16 – $156.80 |
| UPMC Carlisle | Carlisle | $125.40 | $28.63 – $177.65 |
| UPMC Hamot | Erie | $106.20 | $19.16 – $82.37 |
| UPMC Northwest | Seneca | $112.80 | $49.74 – $49.74 |
| UPMC Hanover | Hanover | $125.40 | $45.93 – $90.78 |
| UPMC Horizon-Greenville | Greenville | $109.20 | $37.28 – $61.16 |