(both sides) smear without diff wbc count at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$21.00
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.
$35.00
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.
$3.21 with UPMC Health Plan vs $32.20 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 | $3.21 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $3.40 | ↓ -84% |
| UPMC Health Plan | Partners/Select | $3.52 | ↓ -83% |
| Aetna of PA | Medicare | $3.60 | ↓ -83% |
| United Healthcare | Medicare | $3.70 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $3.70 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $3.70 | ↓ -82% |
| Aetna | Medicare | $3.77 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $3.96 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $3.96 | ↓ -81% |
| Aetna | CHIP/Medicaid | $4.68 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.34 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $5.60 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.70 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6.14 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.72 | ↓ -68% |
| UPMC Health Plan | Commercial | $7.76 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10.68 | ↓ -49% |
| Aetna | Neighborhood Network | $12.60 | ↓ -40% |
| Aetna | EBR FI | $13.65 | ↓ -35% |
| Aetna | Home Depot Employer Group | $13.72 | ↓ -35% |
| Cigna | New Business ASO | $14.00 | ↓ -33% |
| Aetna | EBR ASO | $14.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $14.00 | ↓ -33% |
| Cigna | Commercial | $14.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $14.30 | ↓ -32% |
| InterGroup | PPO | $17.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $21.45 | ↑ +2% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $22.53 | ↑ +7% |
| Coventry/First Health | Commercial | $24.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $26.66 | ↑ +27% |
| Preferred Healthcare System | PPO | $28.00 | ↑ +33% |
| Humana | Commercial | $29.75 | ↑ +42% |
| Private Health Care Systems | PPO | $29.75 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $30.18 | ↑ +44% |
| Multiplan | PPO | $32.20 | ↑ +53% |
Visitor-reported prices
Comments
(both sides) smear without diff wbc count at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Kane | Kane | $57.00 | $3.40 – $14.80 |
| UPMC Muncy | Muncy | $121.80 | $3.40 – $6.14 |
| UPMC Wellsboro | Wellsboro | $147.20 | $3.40 – $6.14 |
| UPMC Williamsport | Williamsport | $121.80 | $3.40 – $4.61 |
| WellSpan Chambersburg Hospital | Chambersburg | $18.40 | $3.43 – $16.56 |
| WellSpan Ephrata Community Hospital | Ephrata | $20.00 | $3.46 – $15.57 |
| WellSpan Good Samaritan Hospital | Lebanon | $27.20 | $3.43 – $15.57 |
| WellSpan Gettysburg Hospital | Gettysburg | $17.60 | $3.43 – $14.17 |