Venous thrombosis imaging at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$918.60
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.
$1,531.00
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.
$110.68 with UPMC Health Plan vs $1,408.52 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 Medicaid | $110.68 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $110.68 | ↓ -88% |
| Aetna | CHIP/Medicaid | $130.81 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $149.22 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $156.64 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $159.22 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $171.48 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $222.03 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $480.29 | ↓ -48% |
| UPMC Health Plan | Partners/Select | $526.42 | ↓ -43% |
| Aetna of PA | Medicare | $538.84 | ↓ -41% |
| UPMC Health Plan | Commercial | $545.46 | ↓ -41% |
| Aetna | Neighborhood Network | $551.16 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $554.18 | ↓ -40% |
| United Healthcare | Medicare | $554.23 | ↓ -40% |
| AmeriHealth Caritas | Medicare | $554.23 | ↓ -40% |
| Aetna | Medicare | $564.50 | ↓ -39% |
| UPMC Work Partners | Workers Comp | $584.00 | ↓ -36% |
| Aetna | EBR FI | $597.09 | ↓ -35% |
| Aetna | Home Depot Employer Group | $600.15 | ↓ -35% |
| Cigna | Commercial | $612.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $612.40 | ↓ -33% |
| Cigna | New Business ASO | $612.40 | ↓ -33% |
| Aetna | EBR ASO | $612.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $642.35 | ↓ -30% |
| UPMC Health Plan | CHIP | $684.26 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $744.75 | ↓ -19% |
| InterGroup | PPO | $765.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $860.22 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Indemnity | $997.39 | ↑ +9% |
| Coventry/First Health | Commercial | $1,071.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,224.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,290.34 | ↑ +40% |
| Humana | Commercial | $1,301.35 | ↑ +42% |
| Private Health Care Systems | PPO | $1,301.35 | ↑ +42% |
| Multiplan | PPO | $1,408.52 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Venous thrombosis imaging at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,800.00 | $85.15 – $6,686.00 |
| UPMC Community Osteopathic | Harrisburg | $1,800.00 | $85.15 – $2,550.00 |
| UPMC Hanover | Hanover | $1,800.00 | $85.15 – $6,686.00 |
| UPMC Kane | Kane | $430.80 | $110.68 – $667.87 |
| UPMC Lititz | Lititz | $1,800.00 | $85.15 – $6,686.00 |
| UPMC Memorial | York | $1,800.00 | $85.15 – $6,686.00 |
| UPMC Muncy | Muncy | $1,172.40 | $83.20 – $624.74 |
| UPMC Somerset | Somerset | $1,800.00 | $74.75 – $604.60 |