Chromosome analysis 45 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$961.80
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.
$1,603.00
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.
$140.66 with UPMC Health Plan vs $1,852.40 with Highmark BCBS of PA — 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 | $140.66 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $148.54 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $154.17 | ↓ -84% |
| Aetna of PA | Medicare | $157.80 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $162.30 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $162.31 | ↓ -83% |
| United Healthcare | Medicare | $162.31 | ↓ -83% |
| Aetna | Medicare | $165.32 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $228.44 | ↓ -76% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $228.44 | ↓ -76% |
| Aetna | CHIP/Medicaid | $269.97 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $307.97 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $323.28 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $328.62 | ↓ -66% |
| UPMC Health Plan | Commercial | $341.88 | ↓ -64% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $353.91 | ↓ -63% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $412.36 | ↓ -57% |
| Aetna | Neighborhood Network | $544.32 | ↓ -43% |
| Aetna | EBR FI | $589.68 | ↓ -39% |
| Aetna | Home Depot Employer Group | $592.70 | ↓ -38% |
| Cigna | New Business ASO | $604.80 | ↓ -37% |
| Cigna | Commercial | $604.80 | ↓ -37% |
| Aetna | NBR ASO/FI | $604.80 | ↓ -37% |
| Aetna | EBR ASO | $604.80 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $655.47 | ↓ -32% |
| InterGroup | PPO | $756.00 | ↓ -21% |
| Highmark BCBS of PA | Managed Care | $877.86 | ↓ -9% |
| Coventry/First Health | Commercial | $1,058.40 | ↑ +10% |
| UPMC Health Plan | CHIP | $1,174.49 | ↑ +22% |
| Preferred Healthcare System | PPO | $1,209.60 | ↑ +26% |
| Private Health Care Systems | PPO | $1,285.20 | ↑ +34% |
| Humana | Commercial | $1,285.20 | ↑ +34% |
| Highmark BCBS of PA | UPMC Emergent | $1,316.79 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,383.19 | ↑ +44% |
| Multiplan | PPO | $1,391.04 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,852.40 | ↑ +93% |
Visitor-reported prices
Comments
Chromosome analysis 45 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $2,686.20 | $54.22 – $4,029.30 |
| UPMC Muncy | Muncy | $917.40 | $148.54 – $353.91 |
| UPMC Wellsboro | Wellsboro | $1,109.60 | $148.54 – $353.91 |
| UPMC Williamsport | Williamsport | $943.80 | $148.54 – $265.82 |