Human epididymis protein 4 (he4) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$176.40
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.
$294.00
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.
$19.48 with UPMC Health Plan vs $251.29 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 | $19.48 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $20.57 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $21.35 | ↓ -88% |
| Aetna of PA | Medicare | $21.85 | ↓ -88% |
| United Healthcare | Medicare | $22.47 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $22.47 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $22.47 | ↓ -87% |
| Aetna | Medicare | $22.89 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $26.23 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $26.23 | ↓ -85% |
| Aetna | CHIP/Medicaid | $31.00 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.37 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $37.13 | ↓ -79% |
| UPMC Health Plan | Commercial | $37.67 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $37.74 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.65 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $55.94 | ↓ -68% |
| Aetna | Neighborhood Network | $62.64 | ↓ -64% |
| Aetna | EBR FI | $67.86 | ↓ -62% |
| Aetna | Home Depot Employer Group | $68.21 | ↓ -61% |
| Cigna | New Business ASO | $69.60 | ↓ -61% |
| Aetna | EBR ASO | $69.60 | ↓ -61% |
| Aetna | NBR ASO/FI | $69.60 | ↓ -61% |
| Cigna | Commercial | $69.60 | ↓ -61% |
| InterGroup | PPO | $87.00 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $88.92 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $119.08 | ↓ -32% |
| Coventry/First Health | Commercial | $121.80 | ↓ -31% |
| UPMC Health Plan | CHIP | $129.42 | ↓ -27% |
| Preferred Healthcare System | PPO | $139.20 | ↓ -21% |
| Humana | Commercial | $147.90 | ↓ -16% |
| Private Health Care Systems | PPO | $147.90 | ↓ -16% |
| Multiplan | PPO | $160.08 | ↓ -9% |
| Highmark BCBS of PA | UPMC Emergent | $178.63 | ↑ +1% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $187.64 | ↑ +6% |
| Highmark BCBS of PA | Commercial - Indemnity | $251.29 | ↑ +42% |
Visitor-reported prices
Comments
Human epididymis protein 4 (he4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $168.00 | $17.35 – $55.41 |
| UPMC Passavant-McCandless | Pittsburgh | $204.00 | $19.34 – $55.94 |
| UPMC Presbyterian | Pittsburgh | $180.60 | $20.57 – $55.94 |
| UPMC St. Margaret | Pittsburgh | $310.80 | $17.97 – $55.94 |
| UPMC Altoona | Altoona | $276.00 | $20.57 – $368.00 |
| UPMC Bedford | Everett | $295.80 | $7.51 – $443.70 |
| UPMC Northwest | Seneca | $345.60 | $18.87 – $27.43 |
| UPMC Kane | Kane | $91.20 | $20.57 – $89.82 |