Antineutrophil cytoplasmic antibody titer each antibody at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$50.40
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.
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What you pay up front if you don't use insurance.
$84.00
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.
$5.16 with Highmark BCBS of PA vs $77.28 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5.16 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8.20 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $10.60 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $10.60 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $10.99 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $11.28 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $11.91 | ↓ -76% |
| UPMC Health Plan | Partners/Select | $12.36 | ↓ -75% |
| Aetna | CHIP/Medicaid | $12.53 | ↓ -75% |
| Aetna of PA | Medicare | $12.65 | ↓ -75% |
| United Healthcare | Medicare | $13.01 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.01 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $13.01 | ↓ -74% |
| Aetna | Medicare | $13.26 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.30 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $15.01 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.25 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16.43 | ↓ -67% |
| Highmark BCBS of PA | UPMC Emergent | $16.48 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $17.31 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Indemnity | $23.18 | ↓ -54% |
| UPMC Health Plan | Commercial | $27.87 | ↓ -45% |
| Aetna | Neighborhood Network | $30.24 | ↓ -40% |
| Aetna | EBR FI | $32.76 | ↓ -35% |
| Aetna | Home Depot Employer Group | $32.93 | ↓ -35% |
| Cigna | New Business ASO | $33.60 | ↓ -33% |
| Aetna | EBR ASO | $33.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $33.60 | ↓ -33% |
| Cigna | Commercial | $33.60 | ↓ -33% |
| InterGroup | PPO | $42.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $50.96 | ↑ +1% |
| Coventry/First Health | Commercial | $58.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $67.20 | ↑ +33% |
| Humana | Commercial | $71.40 | ↑ +42% |
| Private Health Care Systems | PPO | $71.40 | ↑ +42% |
| Multiplan | PPO | $77.28 | ↑ +53% |
Visitor-reported prices
Comments
Antineutrophil cytoplasmic antibody titer each antibody at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $85.80 | $5.11 – $13.26 |
| UPMC Passavant-McCandless | Pittsburgh | $58.80 | $5.16 – $13.85 |
| UPMC St. Margaret | Pittsburgh | $297.00 | $5.16 – $15.05 |
| UPMC Altoona | Altoona | $255.00 | $5.11 – $340.00 |
| UPMC Bedford | Everett | $94.80 | $4.35 – $142.20 |
| UPMC East | Monroeville | $121.20 | $5.16 – $161.60 |
| UPMC Hamot | Erie | $324.00 | $5.11 – $13.40 |
| UPMC Northwest | Seneca | $42.00 | $10.60 – $13.01 |