Cold agglutinin screen (arc) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$65.40
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.
$109.00
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.
$5.50 with UPMC Health Plan vs $100.28 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 Medicaid | $5.50 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $5.50 | ↓ -92% |
| Aetna | CHIP/Medicaid | $6.50 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.42 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $7.55 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $7.78 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.91 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $7.98 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $8.28 | ↓ -87% |
| Aetna of PA | Medicare | $8.47 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8.52 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.71 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $8.72 | ↓ -87% |
| United Healthcare | Medicare | $8.72 | ↓ -87% |
| Aetna | Medicare | $8.88 | ↓ -86% |
| UPMC Health Plan | Commercial | $15.53 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16.21 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $25.77 | ↓ -61% |
| Highmark BCBS of PA | Managed Care | $34.52 | ↓ -47% |
| Aetna | Neighborhood Network | $39.24 | ↓ -40% |
| Aetna | EBR FI | $42.51 | ↓ -35% |
| Aetna | Home Depot Employer Group | $42.73 | ↓ -35% |
| Aetna | EBR ASO | $43.60 | ↓ -33% |
| Cigna | Commercial | $43.60 | ↓ -33% |
| Cigna | New Business ASO | $43.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $43.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $51.77 | ↓ -21% |
| UPMC Health Plan | CHIP | $53.37 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $54.38 | ↓ -17% |
| InterGroup | PPO | $54.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $72.83 | ↑ +11% |
| Coventry/First Health | Commercial | $76.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $87.20 | ↑ +33% |
| Humana | Commercial | $92.65 | ↑ +42% |
| Private Health Care Systems | PPO | $92.65 | ↑ +42% |
| Multiplan | PPO | $100.28 | ↑ +53% |
Visitor-reported prices
Comments
Cold agglutinin screen (arc) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $70.80 | $5.50 – $16.21 |
| UPMC St. Margaret | Pittsburgh | $71.40 | $5.50 – $16.21 |
| UPMC Bedford | Everett | $105.00 | $2.91 – $157.50 |
| UPMC Carlisle | Carlisle | $45.00 | $5.00 – $63.75 |
| UPMC Cole | Coudersport | $59.40 | $5.25 – $79.20 |
| UPMC Community Osteopathic | Harrisburg | $45.00 | $5.00 – $63.75 |
| UPMC Hanover | Hanover | $45.00 | $5.00 – $12.91 |
| UPMC Horizon-Greenville | Greenville | $59.40 | $5.00 – $15.14 |