Apc gene known fam variants at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$40.80
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.
$68.00
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.
$24.48 with Aetna vs $2,123.80 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $24.48 | ↓ -40% |
| Aetna | EBR FI | $26.52 | ↓ -35% |
| Aetna | Home Depot Employer Group | $26.66 | ↓ -35% |
| Cigna | Commercial | $27.20 | ↓ -33% |
| Cigna | New Business ASO | $27.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $27.20 | ↓ -33% |
| Aetna | EBR ASO | $27.20 | ↓ -33% |
| InterGroup | PPO | $34.00 | ↓ -17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $37.74 | ↓ -8% |
| Coventry/First Health | Commercial | $47.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $54.40 | ↑ +33% |
| Private Health Care Systems | PPO | $57.80 | ↑ +42% |
| Humana | Commercial | $57.80 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $59.98 | ↑ +47% |
| Multiplan | PPO | $62.56 | ↑ +53% |
| Highmark BCBS of PA | Managed Care | $80.34 | ↑ +97% |
| Highmark BCBS of PA | UPMC Emergent | $120.50 | ↑ +195% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $126.58 | ↑ +210% |
| Highmark BCBS of PA | Commercial - Indemnity | $169.52 | ↑ +315% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $181.74 | ↑ +345% |
| UPMC Health Plan | Managed Medicaid | $181.74 | ↑ +345% |
| Aetna | CHIP/Medicaid | $214.79 | ↑ +426% |
| Highmark Wholecare (prev Gateway) | Medicaid | $245.02 | ↑ +501% |
| Geisinger | Medicaid/CHIP | $257.20 | ↑ +530% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $261.44 | ↑ +541% |
| UPMC Health Plan | Managed Medicare | $262.05 | ↑ +542% |
| UPMC Work Partners | Workers Comp | $276.73 | ↑ +578% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $281.57 | ↑ +590% |
| UPMC Health Plan | Partners/Select | $287.22 | ↑ +604% |
| Aetna of PA | Medicare | $294.00 | ↑ +621% |
| Highmark Wholecare (prev Gateway) | Medicare | $302.37 | ↑ +641% |
| United Healthcare | Medicare | $302.40 | ↑ +641% |
| AmeriHealth Caritas | Medicare | $302.40 | ↑ +641% |
| Aetna | Medicare | $308.00 | ↑ +655% |
| UPMC Health Plan | Commercial | $1,161.60 | ↑ +2747% |
| UPMC Health Plan | CHIP | $2,123.80 | ↑ +5105% |
Visitor-reported prices
Comments
Apc gene known fam variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $40.80 | $37.74 – $321.78 |