Flow cytometry interp 16 or more at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$745.20
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.
$1,242.00
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.
$64.45 with UPMC Health Plan vs $1,078.24 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 | Commercial | $64.45 | ↓ -91% |
| Aetna | Medicare | $73.70 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $97.55 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $97.55 | ↓ -87% |
| Aetna | CHIP/Medicaid | $115.28 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $131.51 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $138.05 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $140.33 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $151.13 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $202.76 | ↓ -73% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $208.01 | ↓ -72% |
| UPMC Health Plan | CHIP | $221.42 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $330.64 | ↓ -56% |
| Aetna | Neighborhood Network | $421.92 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $442.82 | ↓ -41% |
| Aetna | EBR FI | $457.08 | ↓ -39% |
| Aetna | Home Depot Employer Group | $459.42 | ↓ -38% |
| Aetna | NBR ASO/FI | $468.80 | ↓ -37% |
| Cigna | New Business ASO | $468.80 | ↓ -37% |
| Aetna | EBR ASO | $468.80 | ↓ -37% |
| Cigna | Commercial | $468.80 | ↓ -37% |
| InterGroup | PPO | $586.00 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $586.00 | ↓ -21% |
| Highmark BCBS of PA | UPMC Emergent | $664.24 | ↓ -11% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $697.73 | ↓ -6% |
| Coventry/First Health | Commercial | $820.40 | ↑ +10% |
| Highmark BCBS of PA | Commercial - Indemnity | $934.42 | ↑ +25% |
| Preferred Healthcare System | PPO | $937.60 | ↑ +26% |
| Private Health Care Systems | PPO | $996.20 | ↑ +34% |
| Humana | Commercial | $996.20 | ↑ +34% |
| Multiplan | PPO | $1,078.24 | ↑ +45% |
Visitor-reported prices
Comments
Flow cytometry interp 16 or more at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $964.80 | $61.09 – $215.73 |
| UPMC Passavant-McCandless | Pittsburgh | $865.80 | $61.45 – $235.77 |
| UPMC Presbyterian | Pittsburgh | $1,040.40 | $64.84 – $250.85 |
| UPMC St. Margaret | Pittsburgh | $838.80 | $61.60 – $208.01 |
| UPMC Altoona | Altoona | $936.00 | $88.68 – $1,248.00 |
| UPMC Bedford | Everett | $1,279.80 | $61.75 – $1,919.70 |
| UPMC Carlisle | Carlisle | $208.80 | $47.68 – $295.80 |
| UPMC Cole | Coudersport | $385.20 | $53.00 – $513.60 |