C-reactive protein, quantitative at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$90.60
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.
$151.00
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.
$9.96 with UPMC Health Plan vs $130.64 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 | $9.96 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $10.51 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $10.91 | ↓ -88% |
| Aetna of PA | Medicare | $11.17 | ↓ -88% |
| United Healthcare | Medicare | $11.49 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.49 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $11.49 | ↓ -87% |
| Aetna | Medicare | $11.70 | ↓ -87% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $16.04 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $16.04 | ↓ -82% |
| Aetna | CHIP/Medicaid | $18.95 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.62 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $22.70 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.07 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $24.85 | ↓ -73% |
| UPMC Health Plan | Commercial | $25.77 | ↓ -72% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $27.96 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $44.44 | ↓ -51% |
| Aetna | Neighborhood Network | $51.12 | ↓ -44% |
| Aetna | EBR FI | $55.38 | ↓ -39% |
| Aetna | Home Depot Employer Group | $55.66 | ↓ -39% |
| Cigna | New Business ASO | $56.80 | ↓ -37% |
| Aetna | EBR ASO | $56.80 | ↓ -37% |
| Aetna | NBR ASO/FI | $56.80 | ↓ -37% |
| Cigna | Commercial | $56.80 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $59.52 | ↓ -34% |
| InterGroup | PPO | $71.00 | ↓ -22% |
| UPMC Health Plan | CHIP | $88.54 | ↓ -2% |
| Highmark BCBS of PA | UPMC Emergent | $89.28 | ↓ -1% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $93.79 | ↑ +4% |
| Coventry/First Health | Commercial | $99.40 | ↑ +10% |
| Preferred Healthcare System | PPO | $113.60 | ↑ +25% |
| Humana | Commercial | $120.70 | ↑ +33% |
| Private Health Care Systems | PPO | $120.70 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $125.60 | ↑ +39% |
| Multiplan | PPO | $130.64 | ↑ +44% |
Visitor-reported prices
Comments
C-reactive protein, quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $138.00 | $8.87 – $27.70 |
| UPMC Passavant-McCandless | Pittsburgh | $99.00 | $9.89 – $27.96 |
| UPMC St. Margaret | Pittsburgh | $66.60 | $9.19 – $27.96 |
| UPMC East | Monroeville | $213.60 | $10.51 – $284.80 |
| UPMC Hamot | Erie | $82.20 | $10.51 – $27.70 |
| UPMC Jameson | New Castle | $173.40 | $10.51 – $28.18 |
| UPMC McKeesport | Mckeesport | $98.40 | $9.86 – $27.96 |
| UPMC Muncy | Muncy | $441.00 | $10.51 – $24.85 |