#creutz-prot.,western blot at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$159.00
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.
$265.00
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.
$27.00 with UPMC Health Plan vs $230.00 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 | $27.00 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $27.00 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $27.34 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $28.87 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $29.96 | ↓ -81% |
| Aetna of PA | Medicare | $30.67 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $31.54 | ↓ -80% |
| United Healthcare | Medicare | $31.55 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $31.55 | ↓ -80% |
| Aetna | CHIP/Medicaid | $31.91 | ↓ -80% |
| Aetna | Medicare | $32.13 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $36.41 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $38.22 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $38.85 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41.84 | ↓ -74% |
| UPMC Health Plan | Commercial | $43.91 | ↓ -72% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $49.39 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $78.51 | ↓ -51% |
| Aetna | Neighborhood Network | $90.00 | ↓ -43% |
| Aetna | EBR FI | $97.50 | ↓ -39% |
| Aetna | Home Depot Employer Group | $98.00 | ↓ -38% |
| Cigna | Commercial | $100.00 | ↓ -37% |
| Cigna | New Business ASO | $100.00 | ↓ -37% |
| Aetna | NBR ASO/FI | $100.00 | ↓ -37% |
| Aetna | EBR ASO | $100.00 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $105.14 | ↓ -34% |
| InterGroup | PPO | $125.00 | ↓ -21% |
| UPMC Health Plan | CHIP | $150.86 | ↓ -5% |
| Highmark BCBS of PA | UPMC Emergent | $157.71 | ↓ -1% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $165.67 | ↑ +4% |
| Coventry/First Health | Commercial | $175.00 | ↑ +10% |
| Preferred Healthcare System | PPO | $200.00 | ↑ +26% |
| Humana | Commercial | $212.50 | ↑ +34% |
| Private Health Care Systems | PPO | $212.50 | ↑ +34% |
| Highmark BCBS of PA | Commercial - Indemnity | $221.87 | ↑ +40% |
| Multiplan | PPO | $230.00 | ↑ +45% |
Visitor-reported prices
Comments
#creutz-prot.,western blot at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $190.20 | $24.35 – $48.92 |
| UPMC Passavant-McCandless | Pittsburgh | $571.20 | $27.00 – $49.39 |
| UPMC Altoona | Altoona | $192.00 | $24.55 – $244.00 |
| UPMC Bedford | Everett | $108.60 | $10.54 – $162.90 |
| UPMC Carlisle | Carlisle | $147.60 | $24.55 – $209.10 |
| UPMC Community Osteopathic | Harrisburg | $147.60 | $24.55 – $209.10 |
| UPMC East | Monroeville | $379.20 | $24.55 – $476.80 |
| UPMC Hamot | Erie | $307.20 | $24.55 – $48.92 |