Wbc automated at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$213.00
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.
$355.00
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.
$1.45 with UPMC Health Plan vs $23.92 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 | Commercial | $1.45 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $2.38 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $2.51 | ↓ -99% |
| UPMC Health Plan | Partners/Select | $2.61 | ↓ -99% |
| Aetna of PA | Medicare | $2.67 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $2.74 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $2.74 | ↓ -99% |
| United Healthcare | Medicare | $2.74 | ↓ -99% |
| Aetna | Medicare | $2.79 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $3.87 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $3.87 | ↓ -98% |
| Aetna | CHIP/Medicaid | $4.58 | ↓ -98% |
| UPMC Health Plan | CHIP | $4.98 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4.99 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.22 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $5.48 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.57 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6.00 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7.93 | ↓ -96% |
| Aetna | Neighborhood Network | $9.36 | ↓ -96% |
| Aetna | EBR FI | $10.14 | ↓ -95% |
| Aetna | Home Depot Employer Group | $10.19 | ↓ -95% |
| Cigna | New Business ASO | $10.40 | ↓ -95% |
| Aetna | EBR ASO | $10.40 | ↓ -95% |
| Cigna | Commercial | $10.40 | ↓ -95% |
| Aetna | NBR ASO/FI | $10.40 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $10.63 | ↓ -95% |
| InterGroup | PPO | $13.00 | ↓ -94% |
| Highmark BCBS of PA | UPMC Emergent | $15.94 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $16.74 | ↓ -92% |
| Coventry/First Health | Commercial | $18.20 | ↓ -91% |
| Preferred Healthcare System | PPO | $20.80 | ↓ -90% |
| Private Health Care Systems | PPO | $22.10 | ↓ -90% |
| Humana | Commercial | $22.10 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity | $22.42 | ↓ -89% |
| Multiplan | PPO | $23.92 | ↓ -89% |
Visitor-reported prices
Comments
Wbc automated at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $36.60 | $1.38 – $4.94 |
| UPMC Passavant-McCandless | Pittsburgh | $71.40 | $1.38 – $4.99 |
| UPMC St. Margaret | Pittsburgh | $46.80 | $1.39 – $5.50 |
| UPMC Altoona | Altoona | $48.00 | $2.51 – $64.00 |
| UPMC Bedford | Everett | $41.40 | $0.92 – $62.10 |
| UPMC Carlisle | Carlisle | $13.20 | $2.51 – $18.70 |
| UPMC Cole | Coudersport | $20.40 | $1.65 – $27.20 |
| UPMC Community Osteopathic | Harrisburg | $13.20 | $2.51 – $18.70 |