Cryptococcus abs qn - sendout at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$146.40
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.
$244.00
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.
$13.49 with UPMC Health Plan vs $224.48 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 Medicare | $13.49 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $14.24 | ↓ -90% |
| UPMC Health Plan | Partners/Select | $14.78 | ↓ -90% |
| Aetna of PA | Medicare | $15.13 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.56 | ↓ -89% |
| United Healthcare | Medicare | $15.56 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $15.56 | ↓ -89% |
| Aetna | Medicare | $15.85 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $21.91 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $21.91 | ↓ -85% |
| Aetna | CHIP/Medicaid | $25.90 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.54 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $31.01 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.52 | ↓ -78% |
| UPMC Health Plan | Commercial | $31.54 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $33.95 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $40.33 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $64.10 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $85.85 | ↓ -41% |
| Aetna | Neighborhood Network | $87.84 | ↓ -40% |
| Aetna | EBR FI | $95.16 | ↓ -35% |
| Aetna | Home Depot Employer Group | $95.65 | ↓ -35% |
| Cigna | New Business ASO | $97.60 | ↓ -33% |
| Cigna | Commercial | $97.60 | ↓ -33% |
| Aetna | NBR ASO/FI | $97.60 | ↓ -33% |
| Aetna | EBR ASO | $97.60 | ↓ -33% |
| UPMC Health Plan | CHIP | $108.36 | ↓ -26% |
| InterGroup | PPO | $122.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $128.77 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $135.27 | ↓ -8% |
| Coventry/First Health | Commercial | $170.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $181.15 | ↑ +24% |
| Preferred Healthcare System | PPO | $195.20 | ↑ +33% |
| Humana | Commercial | $207.40 | ↑ +42% |
| Private Health Care Systems | PPO | $207.40 | ↑ +42% |
| Multiplan | PPO | $224.48 | ↑ +53% |
Visitor-reported prices
Comments
Cryptococcus abs qn - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $105.00 | $12.01 – $39.95 |
| UPMC Passavant-McCandless | Pittsburgh | $138.60 | $13.39 – $40.33 |
| UPMC Presbyterian | Pittsburgh | $652.20 | $14.24 – $40.33 |
| UPMC Altoona | Altoona | $216.00 | $14.24 – $288.00 |
| UPMC East | Monroeville | $150.00 | $14.24 – $200.00 |
| UPMC Hamot | Erie | $281.40 | $14.24 – $39.95 |
| UPMC Northwest | Seneca | $136.20 | $13.07 – $22.91 |
| UPMC Horizon-Greenville | Greenville | $147.60 | $12.90 – $27.69 |