Chromosome banding study at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$499.20
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.
$832.00
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.
$64.20 with UPMC Health Plan vs $845.49 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 | $64.20 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $67.80 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $70.37 | ↓ -86% |
| Aetna of PA | Medicare | $72.03 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $74.08 | ↓ -85% |
| United Healthcare | Medicare | $74.09 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $74.09 | ↓ -85% |
| Aetna | Medicare | $75.46 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $104.27 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $104.27 | ↓ -79% |
| Aetna | CHIP/Medicaid | $123.23 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $140.57 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $147.56 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $150.00 | ↓ -70% |
| UPMC Health Plan | Commercial | $152.41 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $161.54 | ↓ -68% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $188.21 | ↓ -62% |
| Preferred Healthcare System | PPO | $266.00 | ↓ -47% |
| Aetna | Neighborhood Network | $282.60 | ↓ -43% |
| Highmark BCBS of PA | Managed Care - Social Mission | $299.17 | ↓ -40% |
| Aetna | EBR FI | $306.15 | ↓ -39% |
| Aetna | Home Depot Employer Group | $307.72 | ↓ -38% |
| Cigna | New Business ASO | $314.00 | ↓ -37% |
| Aetna | EBR ASO | $314.00 | ↓ -37% |
| Aetna | NBR ASO/FI | $314.00 | ↓ -37% |
| Cigna | Commercial | $314.00 | ↓ -37% |
| InterGroup | PPO | $392.50 | ↓ -21% |
| Highmark BCBS of PA | Managed Care | $400.68 | ↓ -20% |
| UPMC Health Plan | CHIP | $523.60 | ↑ +5% |
| Coventry/First Health | Commercial | $549.50 | ↑ +10% |
| Highmark BCBS of PA | UPMC Emergent | $601.02 | ↑ +20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $631.33 | ↑ +26% |
| Humana | Commercial | $667.25 | ↑ +34% |
| Private Health Care Systems | PPO | $667.25 | ↑ +34% |
| Multiplan | PPO | $722.20 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Indemnity | $845.49 | ↑ +69% |
Visitor-reported prices
Comments
Chromosome banding study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $74.00 | $64.83 – $142.48 |