Herpes simplex 1 ag if at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$117.00
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.
$195.00
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.
$11.21 with UPMC Health Plan vs $179.40 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 | Managed Medicare | $11.21 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $11.84 | ↓ -90% |
| UPMC Health Plan | Partners/Select | $12.29 | ↓ -89% |
| Aetna of PA | Medicare | $12.58 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $12.94 | ↓ -89% |
| United Healthcare | Medicare | $12.94 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.94 | ↓ -89% |
| Aetna | Medicare | $13.18 | ↓ -89% |
| UPMC Health Plan | Commercial | $23.73 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $31.66 | ↓ -73% |
| Aetna | CHIP/Medicaid | $35.10 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $50.32 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $67.39 | ↓ -42% |
| Aetna | Neighborhood Network | $70.20 | ↓ -40% |
| Aetna | EBR FI | $76.05 | ↓ -35% |
| Aetna | Home Depot Employer Group | $76.44 | ↓ -35% |
| Cigna | New Business ASO | $78.00 | ↓ -33% |
| Aetna | EBR ASO | $78.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $78.00 | ↓ -33% |
| Cigna | Commercial | $78.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $81.54 | ↓ -30% |
| InterGroup | PPO | $97.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $101.09 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $106.19 | ↓ -9% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $107.25 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $107.25 | ↓ -8% |
| Coventry/First Health | Commercial | $136.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $142.21 | ↑ +22% |
| Preferred Healthcare System | PPO | $156.00 | ↑ +33% |
| Private Health Care Systems | PPO | $165.75 | ↑ +42% |
| Humana | Commercial | $165.75 | ↑ +42% |
| Multiplan | PPO | $179.40 | ↑ +53% |
Visitor-reported prices
Comments
Herpes simplex 1 ag if at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $66.60 | $6.59 – $94.35 |
| UPMC Community Osteopathic | Harrisburg | $66.60 | $9.58 – $94.35 |
| UPMC Hamot | Erie | $180.60 | $11.84 – $31.36 |
| UPMC Northwest | Seneca | $198.60 | $10.86 – $12.94 |
| UPMC Hanover | Hanover | $66.60 | $9.58 – $81.54 |
| UPMC Lititz | Lititz | $66.60 | $9.58 – $81.54 |
| UPMC Memorial | York | $66.60 | $9.58 – $81.54 |
| UPMC Somerset | Somerset | $66.60 | $8.41 – $12.94 |