Alpha-fetoprotein tumor marker at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$108.00
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.
?
What you pay up front if you don't use insurance.
$180.00
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.
$15.70 with UPMC Health Plan vs $156.40 with Multiplan — 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 | $15.70 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $16.57 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $17.20 | ↓ -84% |
| Aetna of PA | Medicare | $17.61 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $18.11 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $18.11 | ↓ -83% |
| United Healthcare | Medicare | $18.11 | ↓ -83% |
| Aetna | Medicare | $18.45 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $22.00 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $22.00 | ↓ -80% |
| UPMC Health Plan | Commercial | $24.57 | ↓ -77% |
| Aetna | CHIP/Medicaid | $26.00 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.66 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $31.13 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.65 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $32.73 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $34.08 | ↓ -68% |
| Preferred Healthcare System | PPO | $52.00 | ↓ -52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $52.02 | ↓ -52% |
| Aetna | Neighborhood Network | $61.20 | ↓ -43% |
| Aetna | EBR FI | $66.30 | ↓ -39% |
| Aetna | Home Depot Employer Group | $66.64 | ↓ -38% |
| Cigna | New Business ASO | $68.00 | ↓ -37% |
| Aetna | EBR ASO | $68.00 | ↓ -37% |
| Aetna | NBR ASO/FI | $68.00 | ↓ -37% |
| Cigna | Commercial | $68.00 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $69.67 | ↓ -35% |
| UPMC Health Plan | CHIP | $84.39 | ↓ -22% |
| InterGroup | PPO | $85.00 | ↓ -21% |
| Highmark BCBS of PA | UPMC Emergent | $104.50 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $109.77 | ↑ +2% |
| Coventry/First Health | Commercial | $119.00 | ↑ +10% |
| Private Health Care Systems | PPO | $144.50 | ↑ +34% |
| Humana | Commercial | $144.50 | ↑ +34% |
| Highmark BCBS of PA | Commercial - Indemnity | $147.01 | ↑ +36% |
| Multiplan | PPO | $156.40 | ↑ +45% |
Visitor-reported prices
Comments
Alpha-fetoprotein tumor marker at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $222.00 | $13.98 – $32.42 |
| UPMC Passavant-McCandless | Pittsburgh | $264.60 | $15.58 – $32.73 |
| UPMC Presbyterian | Pittsburgh | $966.60 | $16.57 – $32.73 |
| UPMC St. Margaret | Pittsburgh | $155.40 | $14.48 – $32.73 |
| UPMC Altoona | Altoona | $154.80 | $16.57 – $206.40 |
| UPMC Bedford | Everett | $83.40 | $6.05 – $125.10 |
| UPMC Carlisle | Carlisle | $85.20 | $16.60 – $120.70 |
| UPMC Cole | Coudersport | $115.20 | $10.90 – $153.60 |