Ultrasound encephalogram at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$720.00
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.
$1,200.00
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.
$86.08 with United Healthcare Community Plan for Families vs $1,104.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $86.08 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $86.08 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $94.88 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $100.94 | ↓ -86% |
| Aetna | CHIP/Medicaid | $101.72 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $104.00 | ↓ -86% |
| Aetna of PA | Medicare | $106.45 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -85% |
| United Healthcare | Medicare | $109.49 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -85% |
| Aetna | Medicare | $111.52 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $116.04 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $121.81 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $123.82 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $133.35 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $220.71 | ↓ -69% |
| UPMC Health Plan | Commercial | $257.62 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $292.02 | ↓ -59% |
| UPMC Health Plan | CHIP | $323.18 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $338.58 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $391.07 | ↓ -46% |
| Aetna | Neighborhood Network | $432.00 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $453.43 | ↓ -37% |
| Aetna | EBR FI | $468.00 | ↓ -35% |
| Aetna | Home Depot Employer Group | $470.40 | ↓ -35% |
| Cigna | New Business ASO | $480.00 | ↓ -33% |
| Aetna | EBR ASO | $480.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $480.00 | ↓ -33% |
| Cigna | Commercial | $480.00 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $586.61 | ↓ -19% |
| InterGroup | PPO | $600.00 | ↓ -17% |
| Coventry/First Health | Commercial | $840.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $960.00 | ↑ +33% |
| Humana | Commercial | $1,020.00 | ↑ +42% |
| Private Health Care Systems | PPO | $1,020.00 | ↑ +42% |
| Multiplan | PPO | $1,104.00 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound encephalogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $520.80 | $84.51 – $220.38 |
| UPMC Presbyterian | Pittsburgh | $1,273.80 | $57.00 – $256.26 |
| UPMC Carlisle | Carlisle | $394.20 | $62.23 – $558.45 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $62.23 – $558.45 |
| UPMC Hamot | Erie | $703.20 | $86.08 – $220.71 |
| UPMC Northwest | Seneca | $552.00 | $86.08 – $209.52 |
| UPMC Hanover | Hanover | $394.20 | $62.23 – $219.27 |
| UPMC Horizon-Greenville | Greenville | $790.80 | $86.08 – $209.52 |