External tissue culture neoplastic disorders bone marrow/blood cells at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,178.40
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.
$1,964.00
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.
$134.54 with UPMC Health Plan vs $1,556.95 with Highmark BCBS of PA — 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 | $134.54 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $142.07 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $147.46 | ↓ -87% |
| Aetna of PA | Medicare | $150.94 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $155.24 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $155.25 | ↓ -87% |
| United Healthcare | Medicare | $155.25 | ↓ -87% |
| Aetna | Medicare | $158.12 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $192.02 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $192.02 | ↓ -84% |
| Aetna | CHIP/Medicaid | $226.93 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $258.87 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $271.74 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $276.22 | ↓ -77% |
| UPMC Health Plan | Commercial | $288.35 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $297.49 | ↓ -75% |
| Preferred Healthcare System | PPO | $342.00 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $346.59 | ↓ -71% |
| Aetna | Neighborhood Network | $459.36 | ↓ -61% |
| Aetna | EBR FI | $497.64 | ↓ -58% |
| Aetna | Home Depot Employer Group | $500.19 | ↓ -58% |
| Cigna | New Business ASO | $510.40 | ↓ -57% |
| Cigna | Commercial | $510.40 | ↓ -57% |
| Aetna | NBR ASO/FI | $510.40 | ↓ -57% |
| Aetna | EBR ASO | $510.40 | ↓ -57% |
| Highmark BCBS of PA | Managed Care - Social Mission | $550.92 | ↓ -53% |
| InterGroup | PPO | $638.00 | ↓ -46% |
| Highmark BCBS of PA | Managed Care | $737.84 | ↓ -37% |
| Coventry/First Health | Commercial | $893.20 | ↓ -24% |
| UPMC Health Plan | CHIP | $990.58 | ↓ -16% |
| Humana | Commercial | $1,084.60 | ↓ -8% |
| Private Health Care Systems | PPO | $1,084.60 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $1,106.76 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,162.58 | ↓ -1% |
| Multiplan | PPO | $1,173.92 | ↓ -0% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,556.95 | ↑ +32% |
Visitor-reported prices
Comments
External tissue culture neoplastic disorders bone marrow/blood cells at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,340.40 | $119.83 – $343.32 |
| UPMC Passavant-McCandless | Pittsburgh | $2,099.40 | $133.59 – $346.59 |
| UPMC Presbyterian | Pittsburgh | $2,004.60 | $142.07 – $346.59 |
| UPMC St. Margaret | Pittsburgh | $1,228.20 | $124.11 – $346.59 |
| UPMC Altoona | Altoona | $621.60 | $142.07 – $828.80 |
| UPMC Bedford | Everett | $2,074.80 | $51.87 – $3,112.20 |
| UPMC Carlisle | Carlisle | $1,028.40 | $142.31 – $1,456.90 |
| UPMC Cole | Coudersport | $646.20 | $53.00 – $861.60 |