healthcosts.net
Blood Culture Test at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$308.40
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.
$514.00
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.
$9.66 with UPMC Health Plan vs $446.20 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $9.66 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $10.20 | ↓ -97% |
| UPMC Health Plan | Partners/Select | $10.59 | ↓ -97% |
| Aetna of PA | Medicare | $10.84 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.14 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $11.15 | ↓ -96% |
| United Healthcare | Medicare | $11.15 | ↓ -96% |
| Aetna | Medicare | $11.35 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $15.40 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $15.40 | ↓ -95% |
| Aetna | CHIP/Medicaid | $18.20 | ↓ -94% |
| UPMC Health Plan | Commercial | $18.70 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $20.15 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $20.76 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $21.79 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.15 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.86 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $32.04 | ↓ -90% |
| Highmark BCBS of PA | Managed Care | $42.90 | ↓ -86% |
| UPMC Health Plan | CHIP | $64.23 | ↓ -79% |
| Highmark BCBS of PA | UPMC Emergent | $64.36 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $67.60 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Indemnity | $90.53 | ↓ -71% |
| Aetna | Neighborhood Network | $174.60 | ↓ -43% |
| Aetna | EBR FI | $189.15 | ↓ -39% |
| Aetna | Home Depot Employer Group | $190.12 | ↓ -38% |
| Aetna | NBR ASO/FI | $194.00 | ↓ -37% |
| Cigna | New Business ASO | $194.00 | ↓ -37% |
| Cigna | Commercial | $194.00 | ↓ -37% |
| Aetna | EBR ASO | $194.00 | ↓ -37% |
| InterGroup | PPO | $242.50 | ↓ -21% |
| Coventry/First Health | Commercial | $339.50 | ↑ +10% |
| Preferred Healthcare System | PPO | $388.00 | ↑ +26% |
| Private Health Care Systems | PPO | $412.25 | ↑ +34% |
| Humana | Commercial | $412.25 | ↑ +34% |
| Multiplan | PPO | $446.20 | ↑ +45% |
Visitor-reported prices
Comments
Blood Culture Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $322.20 | $9.59 – $456.45 |
| UPMC Mercy | Pittsburgh | $146.40 | $8.60 – $219.60 |
| UPMC Presbyterian | Pittsburgh | $783.60 | $10.20 – $1,110.10 |
| UPMC St. Margaret | Pittsburgh | $200.40 | $8.91 – $283.90 |
| UPMC East | Monroeville | $155.40 | $10.20 – $207.20 |
| UPMC Hamot | Erie | $240.00 | $10.20 – $280.00 |
| UPMC Carlisle | Carlisle | $57.00 | $9.89 – $80.75 |
| UPMC Altoona | Altoona | $115.80 | $10.20 – $154.40 |