Tte w or without fol w/con,stres at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,536.80
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.
$4,228.00
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.
$436.57 with Highmark BCBS of PA vs $3,889.76 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 | $436.57 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $704.95 | ↓ -72% |
| Aetna | CHIP/Medicaid | $761.04 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $772.66 | ↓ -70% |
| Aetna of PA | Medicare | $790.89 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $813.41 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $813.49 | ↓ -68% |
| United Healthcare | Medicare | $813.49 | ↓ -68% |
| Aetna | Medicare | $828.55 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,332.34 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,464.39 | ↓ -42% |
| Aetna | Neighborhood Network | $1,522.08 | ↓ -40% |
| Aetna | EBR FI | $1,648.92 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,657.38 | ↓ -35% |
| Aetna | EBR ASO | $1,691.20 | ↓ -33% |
| Cigna | Commercial | $1,691.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,691.20 | ↓ -33% |
| Cigna | New Business ASO | $1,691.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $1,784.29 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,961.15 | ↓ -23% |
| InterGroup | PPO | $2,114.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $2,325.40 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,325.40 | ↓ -8% |
| UPMC Health Plan | CHIP | $2,414.05 | ↓ -5% |
| Highmark BCBS of PA | UPMC Emergent | $2,676.43 | ↑ +6% |
| Coventry/First Health | Commercial | $2,959.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $3,382.40 | ↑ +33% |
| Private Health Care Systems | PPO | $3,593.80 | ↑ +42% |
| Humana | Commercial | $3,593.80 | ↑ +42% |
| UPMC Health Plan | Commercial | $3,729.32 | ↑ +47% |
| Multiplan | PPO | $3,889.76 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tte w or without fol w/con,stres at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,860.20 | $436.57 – $828.55 |
| UPMC Altoona | Altoona | $1,360.80 | $432.45 – $2,414.05 |
| UPMC Carlisle | Carlisle | $2,457.00 | $415.68 – $3,480.75 |
| UPMC Community Osteopathic | Harrisburg | $2,457.00 | $591.94 – $3,480.75 |
| UPMC Hamot | Erie | $696.00 | $432.45 – $1,010.76 |
| UPMC Northwest | Seneca | $626.40 | $683.10 – $813.49 |
| UPMC Hanover | Hanover | $2,457.00 | $591.94 – $2,414.05 |
| UPMC Horizon-Greenville | Greenville | $2,405.40 | $674.37 – $1,048.86 |