Apc gene dup/delet variants at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,299.20
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.
$3,832.00
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.
$187.18 with UPMC Health Plan vs $1,589.15 with Highmark BCBS of PA — 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 | $187.18 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $197.66 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $205.16 | ↓ -91% |
| Aetna of PA | Medicare | $210.00 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $215.98 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $216.00 | ↓ -91% |
| United Healthcare | Medicare | $216.00 | ↓ -91% |
| Aetna | Medicare | $220.00 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $353.76 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $497.94 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $497.94 | ↓ -78% |
| UPMC Health Plan | CHIP | $524.30 | ↓ -77% |
| Aetna | Neighborhood Network | $539.28 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $562.32 | ↓ -76% |
| Aetna | EBR FI | $584.22 | ↓ -75% |
| Aetna | Home Depot Employer Group | $587.22 | ↓ -74% |
| Aetna | CHIP/Medicaid | $588.47 | ↓ -74% |
| Cigna | New Business ASO | $599.20 | ↓ -74% |
| Aetna | EBR ASO | $599.20 | ↓ -74% |
| Aetna | NBR ASO/FI | $599.20 | ↓ -74% |
| Cigna | Commercial | $599.20 | ↓ -74% |
| UPMC Health Plan | Commercial | $651.63 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $671.31 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $704.67 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $716.31 | ↓ -69% |
| InterGroup | PPO | $749.00 | ↓ -67% |
| Highmark BCBS of PA | Managed Care | $753.10 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $771.44 | ↓ -66% |
| Coventry/First Health | Commercial | $1,048.60 | ↓ -54% |
| Highmark BCBS of PA | UPMC Emergent | $1,129.65 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,186.62 | ↓ -48% |
| Preferred Healthcare System | PPO | $1,198.40 | ↓ -48% |
| Humana | Commercial | $1,273.30 | ↓ -45% |
| Private Health Care Systems | PPO | $1,273.30 | ↓ -45% |
| Multiplan | PPO | $1,378.16 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,589.15 | ↓ -31% |
Visitor-reported prices
Comments
Apc gene dup/delet variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,299.20 | $166.72 – $520.57 |
| UPMC Passavant-McCandless | Pittsburgh | $2,299.20 | $185.86 – $520.57 |
| UPMC Presbyterian | Pittsburgh | $2,299.20 | $197.66 – $704.67 |
| UPMC St. Margaret | Pittsburgh | $2,299.20 | $172.68 – $706.66 |
| UPMC Altoona | Altoona | $2,234.40 | $197.66 – $2,979.20 |
| UPMC East | Monroeville | $2,299.20 | $197.66 – $3,065.60 |
| UPMC Northwest | Seneca | $2,299.20 | $181.38 – $520.57 |
| UPMC Jameson | New Castle | $2,299.20 | $197.66 – $520.57 |