Ultrasound prostate/transrectal at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$811.80
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.
$1,353.00
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 $1,244.76 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $94.88 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $95.40 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $95.40 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $104.00 | ↓ -87% |
| Aetna of PA | Medicare | $106.45 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -87% |
| United Healthcare | Medicare | $109.49 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $109.89 | ↓ -86% |
| Aetna | Medicare | $111.52 | ↓ -86% |
| Aetna | CHIP/Medicaid | $112.75 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $128.62 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $135.01 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $137.24 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $147.81 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $236.96 | ↓ -71% |
| UPMC Health Plan | Commercial | $267.08 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $317.92 | ↓ -61% |
| UPMC Health Plan | CHIP | $335.05 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $368.60 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $425.75 | ↓ -48% |
| Aetna | Neighborhood Network | $487.08 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $493.64 | ↓ -39% |
| Aetna | EBR FI | $527.67 | ↓ -35% |
| Aetna | Home Depot Employer Group | $530.38 | ↓ -35% |
| Aetna | NBR ASO/FI | $541.20 | ↓ -33% |
| Aetna | EBR ASO | $541.20 | ↓ -33% |
| Cigna | New Business ASO | $541.20 | ↓ -33% |
| Cigna | Commercial | $541.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $638.63 | ↓ -21% |
| InterGroup | PPO | $676.50 | ↓ -17% |
| Coventry/First Health | Commercial | $947.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,082.40 | ↑ +33% |
| Private Health Care Systems | PPO | $1,150.05 | ↑ +42% |
| Humana | Commercial | $1,150.05 | ↑ +42% |
| Multiplan | PPO | $1,244.76 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound prostate/transrectal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $829.20 | $84.51 – $240.79 |
| UPMC Passavant-McCandless | Pittsburgh | $1,384.20 | $94.21 – $275.53 |
| UPMC Presbyterian | Pittsburgh | $1,914.00 | $64.98 – $279.99 |
| UPMC St. Margaret | Pittsburgh | $649.80 | $87.53 – $236.96 |
| UPMC Altoona | Altoona | $723.60 | $54.15 – $964.80 |
| UPMC Carlisle | Carlisle | $394.20 | $70.94 – $558.45 |
| UPMC Cole | Coudersport | $301.80 | $91.07 – $402.40 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $37.40 – $335.05 |