Assay of urine sulfate at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$49.20
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.
$82.00
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.
$5.14 with UPMC Health Plan vs $67.16 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 | $5.14 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $5.43 | ↓ -89% |
| UPMC Health Plan | Partners/Select | $5.63 | ↓ -89% |
| Aetna of PA | Medicare | $5.76 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $5.93 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.93 | ↓ -88% |
| United Healthcare | Medicare | $5.93 | ↓ -88% |
| Aetna | Medicare | $6.04 | ↓ -88% |
| UPMC Health Plan | Commercial | $8.00 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.02 | ↓ -74% |
| Aetna | CHIP/Medicaid | $13.14 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $20.70 | ↓ -58% |
| Aetna | Neighborhood Network | $26.28 | ↓ -47% |
| UPMC Health Plan | CHIP | $27.50 | ↓ -44% |
| Highmark BCBS of PA | Managed Care | $27.72 | ↓ -44% |
| Aetna | EBR FI | $28.47 | ↓ -42% |
| Aetna | Home Depot Employer Group | $28.62 | ↓ -42% |
| Cigna | New Business ASO | $29.20 | ↓ -41% |
| Aetna | NBR ASO/FI | $29.20 | ↓ -41% |
| Cigna | Commercial | $29.20 | ↓ -41% |
| Aetna | EBR ASO | $29.20 | ↓ -41% |
| InterGroup | PPO | $36.50 | ↓ -26% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.15 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $40.15 | ↓ -18% |
| Highmark BCBS of PA | UPMC Emergent | $41.59 | ↓ -15% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $43.68 | ↓ -11% |
| Coventry/First Health | Commercial | $51.10 | ↑ +4% |
| Preferred Healthcare System | PPO | $58.40 | ↑ +19% |
| Highmark BCBS of PA | Commercial - Indemnity | $58.50 | ↑ +19% |
| Humana | Commercial | $62.05 | ↑ +26% |
| Private Health Care Systems | PPO | $62.05 | ↑ +26% |
| Multiplan | PPO | $67.16 | ↑ +37% |
Visitor-reported prices
Comments
Assay of urine sulfate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $33.60 | $4.58 – $12.90 |
| UPMC Passavant-McCandless | Pittsburgh | $66.00 | $5.10 – $13.02 |
| UPMC Presbyterian | Pittsburgh | $175.20 | $4.02 – $13.02 |
| UPMC St. Margaret | Pittsburgh | $130.20 | $4.74 – $13.02 |
| UPMC Altoona | Altoona | $35.40 | $5.43 – $47.20 |
| UPMC Bedford | Everett | $80.40 | $1.98 – $120.60 |
| UPMC Carlisle | Carlisle | $27.60 | $3.02 – $39.10 |
| UPMC Community Osteopathic | Harrisburg | $27.60 | $4.39 – $28.05 |