Cytopathology cellular enhancement technique non-gyn at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$318.00
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.
?
What you pay up front if you don't use insurance.
$530.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$41.55 with UPMC Health Plan vs $460.00 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Commercial | $41.55 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $47.67 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $52.25 | ↓ -84% |
| Aetna of PA | Medicare | $53.49 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.01 | ↓ -83% |
| United Healthcare | Medicare | $55.02 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $55.02 | ↓ -83% |
| Aetna | Medicare | $56.03 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $101.29 | ↓ -68% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $101.29 | ↓ -68% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $101.33 | ↓ -68% |
| Aetna | CHIP/Medicaid | $119.70 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $136.55 | ↓ -57% |
| UPMC Health Plan | CHIP | $142.74 | ↓ -55% |
| Geisinger | Medicaid/CHIP | $143.34 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $145.71 | ↓ -54% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $156.92 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $161.07 | ↓ -49% |
| Aetna | Neighborhood Network | $180.00 | ↓ -43% |
| Aetna | EBR FI | $195.00 | ↓ -39% |
| Aetna | Home Depot Employer Group | $196.00 | ↓ -38% |
| Aetna | NBR ASO/FI | $200.00 | ↓ -37% |
| Aetna | EBR ASO | $200.00 | ↓ -37% |
| Cigna | New Business ASO | $200.00 | ↓ -37% |
| Cigna | Commercial | $200.00 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $215.72 | ↓ -32% |
| UPMC Work Partners | Workers Comp | $218.54 | ↓ -31% |
| InterGroup | PPO | $250.00 | ↓ -21% |
| Highmark BCBS of PA | UPMC Emergent | $323.58 | ↑ +2% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $339.90 | ↑ +7% |
| Coventry/First Health | Commercial | $350.00 | ↑ +10% |
| Preferred Healthcare System | PPO | $400.00 | ↑ +26% |
| Private Health Care Systems | PPO | $425.00 | ↑ +34% |
| Humana | Commercial | $425.00 | ↑ +34% |
| Highmark BCBS of PA | Commercial - Indemnity | $455.20 | ↑ +43% |
| Multiplan | PPO | $460.00 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cytopathology cellular enhancement technique non-gyn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $379.20 | $39.38 – $246.79 |
| UPMC Passavant-McCandless | Pittsburgh | $268.20 | $39.61 – $254.12 |
| UPMC Presbyterian | Pittsburgh | $388.80 | $41.80 – $286.96 |
| UPMC St. Margaret | Pittsburgh | $322.20 | $39.71 – $218.54 |
| UPMC Altoona | Altoona | $177.60 | $41.26 – $236.80 |
| UPMC Bedford | Everett | $591.60 | $18.38 – $887.40 |
| UPMC Carlisle | Carlisle | $116.40 | $26.58 – $228.71 |
| UPMC Cole | Coudersport | $128.40 | $42.51 – $218.54 |