Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$138.60
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.
$231.00
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.
$22.54 with UPMC Health Plan vs $212.52 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 | $22.54 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $23.80 | ↓ -83% |
| UPMC Health Plan | Partners/Select | $24.70 | ↓ -82% |
| Aetna of PA | Medicare | $25.28 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $26.00 | ↓ -81% |
| United Healthcare | Medicare | $26.01 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $26.01 | ↓ -81% |
| Aetna | Medicare | $26.49 | ↓ -81% |
| UPMC Health Plan | Commercial | $28.59 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $30.03 | ↓ -78% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $30.03 | ↓ -78% |
| Aetna | CHIP/Medicaid | $35.49 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.49 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $42.50 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $43.20 | ↓ -69% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $43.87 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $46.52 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $69.74 | ↓ -50% |
| Aetna | Neighborhood Network | $83.16 | ↓ -40% |
| Aetna | EBR FI | $90.09 | ↓ -35% |
| Aetna | Home Depot Employer Group | $90.55 | ↓ -35% |
| Cigna | New Business ASO | $92.40 | ↓ -33% |
| Aetna | EBR ASO | $92.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $92.40 | ↓ -33% |
| Cigna | Commercial | $92.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $93.40 | ↓ -33% |
| UPMC Health Plan | CHIP | $98.22 | ↓ -29% |
| InterGroup | PPO | $115.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $140.10 | ↑ +1% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $147.16 | ↑ +6% |
| Coventry/First Health | Commercial | $161.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $184.80 | ↑ +33% |
| Private Health Care Systems | PPO | $196.35 | ↑ +42% |
| Humana | Commercial | $196.35 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $197.08 | ↑ +42% |
| Multiplan | PPO | $212.52 | ↑ +53% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $200.40 | $20.07 – $43.46 |
| UPMC Passavant-McCandless | Pittsburgh | $168.60 | $22.38 – $43.87 |
| UPMC Presbyterian | Pittsburgh | $214.80 | $23.80 – $43.87 |
| UPMC St. Margaret | Pittsburgh | $168.60 | $20.79 – $43.87 |
| UPMC Altoona | Altoona | $70.80 | $23.80 – $94.40 |
| UPMC Bedford | Everett | $285.00 | $8.69 – $427.50 |
| UPMC Carlisle | Carlisle | $135.00 | $17.76 – $191.25 |
| UPMC Cole | Coudersport | $110.40 | $15.65 – $147.20 |