Crystal identification light microscopy at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$46.80
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.
$78.00
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.
$6.86 with UPMC Health Plan vs $71.76 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 | $6.86 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $7.24 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $7.52 | ↓ -84% |
| Aetna of PA | Medicare | $7.70 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.92 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $7.92 | ↓ -83% |
| United Healthcare | Medicare | $7.92 | ↓ -83% |
| Aetna | Medicare | $8.06 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $8.25 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $8.25 | ↓ -82% |
| UPMC Health Plan | Commercial | $8.87 | ↓ -81% |
| Aetna | CHIP/Medicaid | $9.75 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.12 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $11.68 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.87 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $12.78 | ↓ -73% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.94 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $22.16 | ↓ -53% |
| Aetna | Neighborhood Network | $28.08 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $29.68 | ↓ -37% |
| Aetna | EBR FI | $30.42 | ↓ -35% |
| UPMC Health Plan | CHIP | $30.46 | ↓ -35% |
| Aetna | Home Depot Employer Group | $30.58 | ↓ -35% |
| Aetna | EBR ASO | $31.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $31.20 | ↓ -33% |
| Cigna | Commercial | $31.20 | ↓ -33% |
| Cigna | New Business ASO | $31.20 | ↓ -33% |
| InterGroup | PPO | $39.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $44.52 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $46.77 | ↓ -0% |
| Coventry/First Health | Commercial | $54.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $62.40 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $62.63 | ↑ +34% |
| Private Health Care Systems | PPO | $66.30 | ↑ +42% |
| Humana | Commercial | $66.30 | ↑ +42% |
| Multiplan | PPO | $71.76 | ↑ +53% |
Visitor-reported prices
Comments
Crystal identification light microscopy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $52.80 | $6.11 – $13.81 |
| UPMC Passavant-McCandless | Pittsburgh | $115.80 | $6.81 – $13.94 |
| UPMC Presbyterian | Pittsburgh | $291.00 | $7.24 – $13.94 |
| UPMC St. Margaret | Pittsburgh | $83.40 | $6.33 – $13.94 |
| UPMC Altoona | Altoona | $62.40 | $7.24 – $83.20 |
| UPMC Bedford | Everett | $33.00 | $2.64 – $49.50 |
| UPMC Carlisle | Carlisle | $52.80 | $6.32 – $74.80 |
| UPMC Cole | Coudersport | $52.20 | $4.76 – $69.60 |