Infect ag drug suscept pheno predict at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,177.20
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.
$1,962.00
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.
$90.29 with UPMC Health Plan vs $1,702.92 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 | $90.29 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $121.99 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $128.83 | ↓ -89% |
| UPMC Health Plan | Partners/Select | $133.71 | ↓ -89% |
| Aetna of PA | Medicare | $136.87 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $140.76 | ↓ -88% |
| United Healthcare | Medicare | $140.78 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $140.78 | ↓ -88% |
| Aetna | Medicare | $143.38 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $160.26 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $160.26 | ↓ -86% |
| Aetna | CHIP/Medicaid | $189.40 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $216.06 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $226.80 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $230.54 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $248.28 | ↓ -79% |
| UPMC Health Plan | CHIP | $310.18 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $341.73 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $543.20 | ↓ -54% |
| Aetna | Neighborhood Network | $666.36 | ↓ -43% |
| Aetna | EBR FI | $721.89 | ↓ -39% |
| Aetna | Home Depot Employer Group | $725.59 | ↓ -38% |
| Highmark BCBS of PA | Managed Care | $727.49 | ↓ -38% |
| Aetna | EBR ASO | $740.40 | ↓ -37% |
| Cigna | New Business ASO | $740.40 | ↓ -37% |
| Aetna | NBR ASO/FI | $740.40 | ↓ -37% |
| Cigna | Commercial | $740.40 | ↓ -37% |
| InterGroup | PPO | $925.50 | ↓ -21% |
| Highmark BCBS of PA | UPMC Emergent | $1,091.24 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,146.27 | ↓ -3% |
| Coventry/First Health | Commercial | $1,295.70 | ↑ +10% |
| Preferred Healthcare System | PPO | $1,480.80 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,535.11 | ↑ +30% |
| Private Health Care Systems | PPO | $1,573.35 | ↑ +34% |
| Humana | Commercial | $1,573.35 | ↑ +34% |
| Multiplan | PPO | $1,702.92 | ↑ +45% |
Visitor-reported prices
Comments
Infect ag drug suscept pheno predict at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,476.00 | $85.58 – $338.51 |
| UPMC Passavant-McCandless | Pittsburgh | $607.20 | $86.08 – $341.73 |
| UPMC Presbyterian | Pittsburgh | $633.60 | $90.83 – $341.73 |
| UPMC St. Margaret | Pittsburgh | $1,287.00 | $86.29 – $341.73 |
| UPMC Altoona | Altoona | $1,681.20 | $128.83 – $2,241.60 |
| UPMC Carlisle | Carlisle | $724.80 | $19.28 – $1,026.80 |
| UPMC Community Osteopathic | Harrisburg | $724.80 | $129.05 – $1,026.80 |
| UPMC East | Monroeville | $1,287.00 | $85.33 – $1,716.00 |