Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$93.60
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.
$156.00
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.
$13.46 with UPMC Health Plan vs $143.52 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 | $13.46 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $14.22 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $14.75 | ↓ -84% |
| Aetna of PA | Medicare | $15.10 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $15.53 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.53 | ↓ -83% |
| United Healthcare | Medicare | $15.53 | ↓ -83% |
| Aetna | Medicare | $15.82 | ↓ -83% |
| UPMC Health Plan | Commercial | $18.57 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.90 | ↓ -72% |
| Aetna | CHIP/Medicaid | $28.08 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $41.16 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $55.13 | ↓ -41% |
| Aetna | Neighborhood Network | $56.16 | ↓ -40% |
| Aetna | EBR FI | $60.84 | ↓ -35% |
| Aetna | Home Depot Employer Group | $61.15 | ↓ -35% |
| Aetna | NBR ASO/FI | $62.40 | ↓ -33% |
| Cigna | Commercial | $62.40 | ↓ -33% |
| Aetna | EBR ASO | $62.40 | ↓ -33% |
| Cigna | New Business ASO | $62.40 | ↓ -33% |
| UPMC Health Plan | CHIP | $63.78 | ↓ -32% |
| InterGroup | PPO | $78.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $82.69 | ↓ -12% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $85.80 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $85.80 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $86.86 | ↓ -7% |
| Coventry/First Health | Commercial | $109.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $116.33 | ↑ +24% |
| Preferred Healthcare System | PPO | $124.80 | ↑ +33% |
| Humana | Commercial | $132.60 | ↑ +42% |
| Private Health Care Systems | PPO | $132.60 | ↑ +42% |
| Multiplan | PPO | $143.52 | ↑ +53% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $130.20 | $11.99 – $25.65 |
| UPMC Passavant-McCandless | Pittsburgh | $99.00 | $13.36 – $25.90 |
| UPMC St. Margaret | Pittsburgh | $594.60 | $12.42 – $25.90 |
| UPMC Altoona | Altoona | $118.20 | $14.22 – $157.60 |
| UPMC Bedford | Everett | $61.20 | $5.19 – $91.80 |
| UPMC Carlisle | Carlisle | $80.40 | $7.91 – $113.90 |
| UPMC Cole | Coudersport | $53.40 | $9.35 – $71.20 |
| UPMC Community Osteopathic | Harrisburg | $80.40 | $11.49 – $113.90 |