Chromosome analysis 5 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,178.40
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.
$1,964.00
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.
$247.40 with UPMC Health Plan vs $2,178.55 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 | $247.40 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $261.25 | ↓ -78% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $268.66 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $268.66 | ↓ -77% |
| UPMC Health Plan | Partners/Select | $271.16 | ↓ -77% |
| Aetna of PA | Medicare | $277.56 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $285.46 | ↓ -76% |
| United Healthcare | Medicare | $285.49 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $285.49 | ↓ -76% |
| Aetna | Medicare | $290.77 | ↓ -75% |
| Aetna | CHIP/Medicaid | $317.51 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $362.21 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $380.21 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $386.49 | ↓ -67% |
| UPMC Health Plan | Commercial | $397.89 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $416.23 | ↓ -65% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $484.96 | ↓ -59% |
| Aetna | Neighborhood Network | $516.24 | ↓ -56% |
| Aetna | EBR FI | $559.26 | ↓ -53% |
| Aetna | Home Depot Employer Group | $562.13 | ↓ -52% |
| Cigna | New Business ASO | $573.60 | ↓ -51% |
| Cigna | Commercial | $573.60 | ↓ -51% |
| Aetna | NBR ASO/FI | $573.60 | ↓ -51% |
| Aetna | EBR ASO | $573.60 | ↓ -51% |
| InterGroup | PPO | $717.00 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $770.87 | ↓ -35% |
| Coventry/First Health | Commercial | $1,003.80 | ↓ -15% |
| Highmark BCBS of PA | Managed Care | $1,032.42 | ↓ -12% |
| Preferred Healthcare System | PPO | $1,147.20 | ↓ -3% |
| Private Health Care Systems | PPO | $1,218.90 | ↑ +3% |
| Humana | Commercial | $1,218.90 | ↑ +3% |
| Multiplan | PPO | $1,319.28 | ↑ +12% |
| UPMC Health Plan | CHIP | $1,366.90 | ↑ +16% |
| Highmark BCBS of PA | UPMC Emergent | $1,548.62 | ↑ +31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,626.72 | ↑ +38% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,178.55 | ↑ +85% |
Visitor-reported prices
Comments
Chromosome analysis 5 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,224.80 | $245.65 – $484.96 |
| UPMC Presbyterian | Pittsburgh | $3,701.40 | $244.24 – $484.96 |
| UPMC Altoona | Altoona | $848.40 | $244.24 – $1,131.20 |
| UPMC East | Monroeville | $2,143.20 | $244.24 – $2,857.60 |
| UPMC Hamot | Erie | $3,040.20 | $242.93 – $480.39 |
| UPMC Northwest | Seneca | $2,955.60 | $239.73 – $285.49 |
| UPMC Horizon-Greenville | Greenville | $1,782.00 | $236.66 – $496.03 |
| UPMC Jameson | New Castle | $1,048.80 | $246.93 – $488.87 |