Infect ag genotype na hiv-1 revr trn/prt at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,425.80
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.
$4,043.00
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.
$240.95 with UPMC Health Plan vs $3,719.56 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 | $240.95 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $254.45 | ↓ -90% |
| UPMC Health Plan | Partners/Select | $264.09 | ↓ -89% |
| Aetna of PA | Medicare | $270.32 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $278.02 | ↓ -89% |
| United Healthcare | Medicare | $278.05 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $278.05 | ↓ -89% |
| Aetna | Medicare | $283.19 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $313.08 | ↓ -87% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $313.08 | ↓ -87% |
| UPMC Health Plan | Commercial | $360.82 | ↓ -85% |
| Aetna | CHIP/Medicaid | $370.01 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $422.09 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $443.07 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $450.38 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $485.05 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $689.88 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,096.60 | ↓ -55% |
| UPMC Health Plan | CHIP | $1,239.56 | ↓ -49% |
| Aetna | Neighborhood Network | $1,455.48 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $1,468.65 | ↓ -39% |
| Aetna | EBR FI | $1,576.77 | ↓ -35% |
| Aetna | Home Depot Employer Group | $1,584.86 | ↓ -35% |
| Aetna | EBR ASO | $1,617.20 | ↓ -33% |
| Cigna | New Business ASO | $1,617.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $1,617.20 | ↓ -33% |
| Cigna | Commercial | $1,617.20 | ↓ -33% |
| InterGroup | PPO | $2,021.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $2,202.97 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,314.07 | ↓ -5% |
| Coventry/First Health | Commercial | $2,830.10 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,099.06 | ↑ +28% |
| Preferred Healthcare System | PPO | $3,234.40 | ↑ +33% |
| Private Health Care Systems | PPO | $3,436.55 | ↑ +42% |
| Humana | Commercial | $3,436.55 | ↑ +42% |
| Multiplan | PPO | $3,719.56 | ↑ +53% |
Visitor-reported prices
Comments
Infect ag genotype na hiv-1 revr trn/prt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,667.00 | $214.61 – $683.37 |
| UPMC Passavant-McCandless | Pittsburgh | $2,655.60 | $239.25 – $689.88 |
| UPMC St. Margaret | Pittsburgh | $2,905.20 | $222.28 – $689.88 |
| UPMC Altoona | Altoona | $2,403.60 | $254.45 – $3,204.80 |
| UPMC Bedford | Everett | $4,483.20 | $92.89 – $6,724.80 |
| UPMC Carlisle | Carlisle | $1,431.00 | $193.10 – $2,027.25 |
| UPMC Community Osteopathic | Harrisburg | $1,431.00 | $254.88 – $2,027.25 |
| UPMC East | Monroeville | $5,280.00 | $254.45 – $7,040.00 |