Ultrasound joint complete left 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$94.88 with UPMC Health Plan vs $902.10 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $94.88 | ↓ -84% |
| UPMC Health Plan | Partners/Select | $104.00 | ↓ -82% |
| Aetna of PA | Medicare | $106.45 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -81% |
| United Healthcare | Medicare | $109.49 | ↓ -81% |
| Aetna | Medicare | $111.52 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $155.22 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $170.06 | ↓ -71% |
| Aetna | CHIP/Medicaid | $172.98 | ↓ -70% |
| Aetna | Neighborhood Network | $345.96 | ↓ -40% |
| Aetna | EBR FI | $374.79 | ↓ -35% |
| Aetna | Home Depot Employer Group | $376.71 | ↓ -35% |
| Cigna | New Business ASO | $384.40 | ↓ -33% |
| Aetna | EBR ASO | $384.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $384.40 | ↓ -33% |
| Cigna | Commercial | $384.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $438.59 | ↓ -24% |
| Highmark BCBS of PA | Managed Care - Social Mission | $449.08 | ↓ -22% |
| InterGroup | PPO | $480.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $520.67 | ↓ -10% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $528.55 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $528.55 | ↓ -8% |
| UPMC Health Plan | CHIP | $550.20 | ↓ -5% |
| Highmark BCBS of PA | Managed Care | $601.40 | ↑ +4% |
| Coventry/First Health | Commercial | $672.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $697.30 | ↑ +21% |
| 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% |
| Highmark BCBS of PA | UPMC Emergent | $902.10 | ↑ +56% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound joint complete left at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $785.40 | $84.51 – $189.78 |
| UPMC Passavant-McCandless | Pittsburgh | $965.40 | $94.21 – $197.74 |
| UPMC Presbyterian | Pittsburgh | $1,263.00 | $79.42 – $345.40 |
| UPMC St. Margaret | Pittsburgh | $925.20 | $87.53 – $170.06 |
| UPMC Bedford | Everett | $626.40 | $36.58 – $939.60 |
| UPMC Carlisle | Carlisle | $394.20 | $55.95 – $558.45 |
| UPMC Cole | Coudersport | $333.60 | $59.18 – $444.80 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $86.70 – $558.45 |