Borrelia burgdorferi (lyme disease) antibody nonspecific at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$115.80
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.
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What you pay up front if you don't use insurance.
$193.00
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.
$15.94 with UPMC Health Plan vs $158.24 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 | $15.94 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $16.83 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $17.47 | ↓ -85% |
| Aetna of PA | Medicare | $17.88 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $18.39 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $18.39 | ↓ -84% |
| United Healthcare | Medicare | $18.39 | ↓ -84% |
| Aetna | Medicare | $18.73 | ↓ -84% |
| UPMC Health Plan | Commercial | $24.97 | ↓ -78% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $25.89 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $25.89 | ↓ -78% |
| Aetna | CHIP/Medicaid | $30.60 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $33.21 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.91 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $36.64 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $37.25 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.12 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $52.80 | ↓ -54% |
| Aetna | Neighborhood Network | $61.92 | ↓ -47% |
| Aetna | EBR FI | $67.08 | ↓ -42% |
| Aetna | Home Depot Employer Group | $67.42 | ↓ -42% |
| Cigna | New Business ASO | $68.80 | ↓ -41% |
| Aetna | EBR ASO | $68.80 | ↓ -41% |
| Aetna | NBR ASO/FI | $68.80 | ↓ -41% |
| Cigna | Commercial | $68.80 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $70.71 | ↓ -39% |
| UPMC Health Plan | CHIP | $85.79 | ↓ -26% |
| InterGroup | PPO | $86.00 | ↓ -26% |
| Highmark BCBS of PA | UPMC Emergent | $106.06 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $111.41 | ↓ -4% |
| Coventry/First Health | Commercial | $120.40 | ↑ +4% |
| Preferred Healthcare System | PPO | $137.60 | ↑ +19% |
| Private Health Care Systems | PPO | $146.20 | ↑ +26% |
| Humana | Commercial | $146.20 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Indemnity | $149.20 | ↑ +29% |
| Multiplan | PPO | $158.24 | ↑ +37% |
Visitor-reported prices
Comments
Borrelia burgdorferi (lyme disease) antibody nonspecific at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $129.60 | $14.20 – $32.90 |
| UPMC Passavant-McCandless | Pittsburgh | $325.20 | $15.83 – $33.21 |
| UPMC St. Margaret | Pittsburgh | $204.00 | $14.70 – $36.75 |
| UPMC Altoona | Altoona | $238.20 | $16.83 – $317.60 |
| UPMC Bedford | Everett | $91.20 | $6.14 – $136.80 |
| UPMC Carlisle | Carlisle | $94.80 | $16.86 – $134.30 |
| UPMC Cole | Coudersport | $80.40 | $11.07 – $107.20 |
| UPMC Community Osteopathic | Harrisburg | $94.80 | $16.86 – $134.30 |