Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$146.40
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.
?
What you pay up front if you don't use insurance.
$244.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.33 with UPMC Health Plan vs $207.40 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $13.33 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $14.22 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $14.38 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $14.75 | ↓ -90% |
| Aetna of PA | Medicare | $15.10 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.53 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $15.53 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $15.53 | ↓ -89% |
| Aetna | Medicare | $15.82 | ↓ -89% |
| UPMC Health Plan | Commercial | $18.01 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.90 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $44.97 | ↓ -69% |
| Highmark BCBS of PA | Managed Care | $60.23 | ↓ -59% |
| UPMC Health Plan | CHIP | $63.78 | ↓ -56% |
| Aetna | Neighborhood Network | $84.67 | ↓ -42% |
| Aetna | Home Depot Employer Group | $91.99 | ↓ -37% |
| Aetna | EBR FI | $92.72 | ↓ -37% |
| Aetna | NBR ASO/FI | $93.94 | ↓ -36% |
| Cigna | New Business ASO | $93.94 | ↓ -36% |
| Cigna | Commercial | $97.60 | ↓ -33% |
| Aetna | EBR ASO | $97.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $97.63 | ↓ -33% |
| InterGroup | PPO | $122.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $130.75 | ↓ -11% |
| PA Health & Wellness | PA Medicaid HMO | $134.20 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $146.40 | ↑ +0% |
| Coventry/First Health | Commercial | $170.80 | ↑ +17% |
| Private Health Care Systems | PPO | $195.20 | ↑ +33% |
| SelectCare | Commercial | $195.20 | ↑ +33% |
| Humana | Commercial | $207.40 | ↑ +42% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $118.20 | $14.22 – $157.60 |
| UPMC Bedford | Everett | $61.20 | $5.19 – $91.80 |
| UPMC Carlisle | Carlisle | $80.40 | $7.91 – $113.90 |
| UPMC Cole | Coudersport | $53.40 | $9.35 – $71.20 |
| UPMC Community Osteopathic | Harrisburg | $80.40 | $11.49 – $113.90 |
| UPMC East | Monroeville | $198.60 | $14.22 – $264.80 |
| UPMC Hamot | Erie | $107.40 | $14.22 – $25.65 |
| UPMC Northwest | Seneca | $88.20 | $13.04 – $15.53 |