Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$32.40
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.
$54.00
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.
$3.08 with UPMC Health Plan vs $44.16 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 Medicaid | $3.08 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $3.08 | ↓ -90% |
| Aetna | CHIP/Medicaid | $3.64 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.15 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $4.36 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.43 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4.77 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5.89 | ↓ -82% |
| UPMC Health Plan | Commercial | $8.98 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9.37 | ↓ -71% |
| Highmark BCBS of PA | Managed Care | $12.54 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $14.90 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $15.74 | ↓ -51% |
| UPMC Health Plan | Partners/Select | $16.33 | ↓ -50% |
| Aetna of PA | Medicare | $16.72 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.19 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $17.19 | ↓ -47% |
| United Healthcare | Medicare | $17.19 | ↓ -47% |
| Aetna | Neighborhood Network | $17.28 | ↓ -47% |
| Aetna | Medicare | $17.51 | ↓ -46% |
| Aetna | EBR FI | $18.72 | ↓ -42% |
| Highmark BCBS of PA | UPMC Emergent | $18.82 | ↓ -42% |
| Aetna | Home Depot Employer Group | $18.82 | ↓ -42% |
| Cigna | New Business ASO | $19.20 | ↓ -41% |
| Aetna | EBR ASO | $19.20 | ↓ -41% |
| Aetna | NBR ASO/FI | $19.20 | ↓ -41% |
| Cigna | Commercial | $19.20 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $19.76 | ↓ -39% |
| InterGroup | PPO | $24.00 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Indemnity | $26.47 | ↓ -18% |
| UPMC Health Plan | CHIP | $30.86 | ↓ -5% |
| Coventry/First Health | Commercial | $33.60 | ↑ +4% |
| Preferred Healthcare System | PPO | $38.40 | ↑ +19% |
| Humana | Commercial | $40.80 | ↑ +26% |
| Private Health Care Systems | PPO | $40.80 | ↑ +26% |
| Multiplan | PPO | $44.16 | ↑ +36% |
Visitor-reported prices
Comments
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $25.80 | $3.08 – $17.51 |
| UPMC Passavant-McCandless | Pittsburgh | $32.40 | $3.08 – $18.30 |
| UPMC Presbyterian | Pittsburgh | $45.00 | $2.80 – $18.30 |
| UPMC St. Margaret | Pittsburgh | $22.80 | $3.08 – $17.51 |
| UPMC Altoona | Altoona | $28.20 | $2.80 – $37.60 |
| UPMC Bedford | Everett | $22.20 | $2.80 – $33.30 |
| UPMC Cole | Coudersport | $74.40 | $2.94 – $99.20 |
| UPMC East | Monroeville | $22.20 | $2.80 – $29.60 |