Cytp urine 3-5 probes cmptr at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,282.00
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.
$5,470.00
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.
$152.90 with UPMC Health Plan vs $5,032.40 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 | $152.90 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $167.58 | ↓ -95% |
| Aetna of PA | Medicare | $171.54 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↓ -95% |
| United Healthcare | Medicare | $176.44 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $176.44 | ↓ -95% |
| Aetna | Medicare | $179.71 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $326.24 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $326.24 | ↓ -90% |
| UPMC Health Plan | Commercial | $358.62 | ↓ -89% |
| Aetna | CHIP/Medicaid | $385.55 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $439.83 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $461.69 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $469.31 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $505.43 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $565.72 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $609.06 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $968.13 | ↓ -71% |
| UPMC Health Plan | CHIP | $1,232.00 | ↓ -62% |
| Highmark BCBS of PA | Managed Care | $1,296.59 | ↓ -60% |
| Highmark BCBS of PA | UPMC Emergent | $1,944.89 | ↓ -41% |
| Aetna | Neighborhood Network | $1,969.20 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,042.97 | ↓ -38% |
| Aetna | EBR FI | $2,133.30 | ↓ -35% |
| Aetna | Home Depot Employer Group | $2,144.24 | ↓ -35% |
| Cigna | New Business ASO | $2,188.00 | ↓ -33% |
| Aetna | EBR ASO | $2,188.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $2,188.00 | ↓ -33% |
| Cigna | Commercial | $2,188.00 | ↓ -33% |
| InterGroup | PPO | $2,735.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,736.00 | ↓ -17% |
| Coventry/First Health | Commercial | $3,829.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $4,376.00 | ↑ +33% |
| Humana | Commercial | $4,649.50 | ↑ +42% |
| Private Health Care Systems | PPO | $4,649.50 | ↑ +42% |
| Multiplan | PPO | $5,032.40 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cytp urine 3-5 probes cmptr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,238.00 | $136.19 – $634.85 |
| UPMC Passavant-McCandless | Pittsburgh | $963.00 | $151.82 – $657.81 |
| UPMC Presbyterian | Pittsburgh | $2,358.00 | $176.44 – $738.20 |
| UPMC Altoona | Altoona | $3,105.00 | $259.65 – $4,140.00 |
| UPMC East | Monroeville | $2,329.80 | $163.81 – $3,106.40 |
| UPMC Hanover | Hanover | $664.80 | $162.06 – $592.03 |
| UPMC Lititz | Lititz | $664.80 | $162.93 – $592.03 |
| UPMC McKeesport | Mckeesport | $2,205.00 | $151.43 – $609.06 |