Whfo nontorsion joint prefab at UPMC Magee

300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$165.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$276.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$46.80 with Aetna vs $1,844.86 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 →

Payer
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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
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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
Aetna CHIP/Medicaid $46.80 ↓ -72%
Highmark Wholecare (prev Gateway) Medicaid $59.80 ↓ -64%
Geisinger Medicaid/CHIP $85.80 ↓ -48%
Aetna Neighborhood Network $93.60 ↓ -43%
Aetna EBR FI $101.40 ↓ -39%
Aetna Home Depot Employer Group $101.92 ↓ -38%
Aetna EBR ASO $104.00 ↓ -37%
Aetna NBR ASO/FI $104.00 ↓ -37%
Cigna Commercial $104.00 ↓ -37%
Cigna New Business ASO $104.00 ↓ -37%
Aetna Medicare $106.49 ↓ -36%
Highmark Wholecare (prev Gateway) Medicare $130.00 ↓ -21%
InterGroup PPO $130.00 ↓ -21%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $143.00 ↓ -14%
Coventry/First Health Commercial $182.00 ↑ +10%
Preferred Healthcare System PPO $208.00 ↑ +26%
Humana Commercial $221.00 ↑ +33%
Private Health Care Systems PPO $221.00 ↑ +33%
UPMC Work Partners Workers Comp $233.39 ↑ +41%
Multiplan PPO $239.20 ↑ +44%
Highmark BCBS of PA Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage $269.99 ↑ +63%
UPMC Health Plan CHIP $804.83 ↑ +386%
Highmark BCBS of PA Commercial - Social Mission Indemnity $905.64 ↑ +447%
Highmark BCBS of PA Managed Care - Social Mission $918.33 ↑ +455%
Highmark BCBS of PA Commercial - Indemnity $1,212.85 ↑ +632%
Highmark BCBS of PA Managed Care $1,229.90 ↑ +643%
UPMC Health Plan Commercial $1,243.34 ↑ +651%
Highmark BCBS of PA UPMC Emergent $1,844.86 ↑ +1014%

Visitor-reported prices

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Whfo nontorsion joint prefab at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $176.40 $233.39 – $635.53
UPMC Passavant-McCandless Pittsburgh $381.60 $233.39 – $1,167.91
UPMC Presbyterian Pittsburgh $354.00 $138.12 – $1,301.27
UPMC St. Margaret Pittsburgh $349.80 $233.39 – $987.59
UPMC Altoona Altoona $159.00 $50.35 – $804.83
UPMC Bedford Everett $585.60 $180.12 – $853.20
UPMC Cole Coudersport $670.80 $212.42 – $894.40
UPMC East Monroeville $201.60 $16.72 – $804.83

All Pennsylvania hospitals for this procedure →