Chromosome analysis 50-100 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,174.80
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.
$1,958.00
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.
$162.07 with UPMC Health Plan vs $2,134.63 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 | $162.07 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $171.15 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $177.64 | ↓ -85% |
| Aetna of PA | Medicare | $181.83 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $187.01 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $187.02 | ↓ -84% |
| United Healthcare | Medicare | $187.02 | ↓ -84% |
| Aetna | Medicare | $190.49 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $263.25 | ↓ -78% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $263.25 | ↓ -78% |
| Aetna | CHIP/Medicaid | $311.12 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $354.91 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $372.55 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $378.70 | ↓ -68% |
| UPMC Health Plan | Commercial | $393.82 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $407.85 | ↓ -65% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $475.19 | ↓ -60% |
| Aetna | Neighborhood Network | $627.12 | ↓ -47% |
| Aetna | EBR FI | $679.38 | ↓ -42% |
| Aetna | Home Depot Employer Group | $682.86 | ↓ -42% |
| Cigna | New Business ASO | $696.80 | ↓ -41% |
| Cigna | Commercial | $696.80 | ↓ -41% |
| Aetna | NBR ASO/FI | $696.80 | ↓ -41% |
| Aetna | EBR ASO | $696.80 | ↓ -41% |
| Highmark BCBS of PA | Managed Care - Social Mission | $755.33 | ↓ -36% |
| InterGroup | PPO | $871.00 | ↓ -26% |
| Highmark BCBS of PA | Managed Care | $1,011.60 | ↓ -14% |
| Coventry/First Health | Commercial | $1,219.40 | ↑ +4% |
| UPMC Health Plan | CHIP | $1,352.90 | ↑ +15% |
| Preferred Healthcare System | PPO | $1,393.60 | ↑ +19% |
| Private Health Care Systems | PPO | $1,480.70 | ↑ +26% |
| Humana | Commercial | $1,480.70 | ↑ +26% |
| Highmark BCBS of PA | UPMC Emergent | $1,517.40 | ↑ +29% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,593.93 | ↑ +36% |
| Multiplan | PPO | $1,602.64 | ↑ +36% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,134.63 | ↑ +82% |
Visitor-reported prices
Comments
Chromosome analysis 50-100 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Lititz | Lititz | $625.80 | $171.44 – $325.95 |