Hexa gene at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,416.00
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.
$2,360.00
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.
$48.15 with UPMC Health Plan vs $1,448.08 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 | $48.15 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $50.85 | ↓ -96% |
| UPMC Health Plan | Partners/Select | $52.78 | ↓ -96% |
| Aetna of PA | Medicare | $54.02 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.56 | ↓ -96% |
| United Healthcare | Medicare | $55.57 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $55.57 | ↓ -96% |
| Aetna | Medicare | $56.59 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $164.81 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $164.81 | ↓ -88% |
| UPMC Health Plan | Commercial | $185.33 | ↓ -87% |
| Aetna | CHIP/Medicaid | $194.78 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $222.20 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $233.24 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $237.09 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $255.34 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $274.83 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $436.86 | ↓ -69% |
| Aetna | Neighborhood Network | $566.64 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $585.08 | ↓ -59% |
| Aetna | EBR FI | $613.86 | ↓ -57% |
| Aetna | Home Depot Employer Group | $617.01 | ↓ -56% |
| Cigna | New Business ASO | $629.60 | ↓ -56% |
| Aetna | EBR ASO | $629.60 | ↓ -56% |
| Aetna | NBR ASO/FI | $629.60 | ↓ -56% |
| Cigna | Commercial | $629.60 | ↓ -56% |
| UPMC Health Plan | CHIP | $636.66 | ↓ -55% |
| InterGroup | PPO | $787.00 | ↓ -44% |
| Highmark BCBS of PA | UPMC Emergent | $877.62 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $921.88 | ↓ -35% |
| Coventry/First Health | Commercial | $1,101.80 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,234.60 | ↓ -13% |
| Preferred Healthcare System | PPO | $1,259.20 | ↓ -11% |
| Private Health Care Systems | PPO | $1,337.90 | ↓ -6% |
| Humana | Commercial | $1,337.90 | ↓ -6% |
| Multiplan | PPO | $1,448.08 | ↑ +2% |
Visitor-reported prices
Comments
Hexa gene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,501.20 | $47.81 – $274.83 |
| UPMC Presbyterian | Pittsburgh | $1,191.60 | $50.85 – $274.83 |
| UPMC St. Margaret | Pittsburgh | $1,191.60 | $44.42 – $274.83 |
| UPMC Altoona | Altoona | $1,336.80 | $50.85 – $1,782.40 |
| UPMC Bedford | Everett | $1,416.00 | $18.56 – $2,124.00 |
| UPMC Hamot | Erie | $1,438.20 | $50.85 – $272.24 |
| UPMC Northwest | Seneca | $1,416.00 | $46.66 – $172.30 |
| UPMC Horizon-Greenville | Greenville | $1,416.00 | $46.06 – $208.25 |