Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$310.20
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.
$517.00
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.
$34.88 with UPMC Health Plan vs $475.64 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 | $34.88 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $36.84 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $38.23 | ↓ -88% |
| Aetna of PA | Medicare | $39.13 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $40.25 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $40.25 | ↓ -87% |
| United Healthcare | Medicare | $40.25 | ↓ -87% |
| Aetna | Medicare | $41.00 | ↓ -87% |
| UPMC Health Plan | Commercial | $43.23 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $44.24 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $44.24 | ↓ -86% |
| Aetna | CHIP/Medicaid | $52.29 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $59.65 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $62.61 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $63.64 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $68.54 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $94.33 | ↓ -70% |
| UPMC Health Plan | CHIP | $148.51 | ↓ -52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $149.95 | ↓ -52% |
| Aetna | Neighborhood Network | $186.12 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $200.82 | ↓ -35% |
| Aetna | EBR FI | $201.63 | ↓ -35% |
| Aetna | Home Depot Employer Group | $202.66 | ↓ -35% |
| Aetna | NBR ASO/FI | $206.80 | ↓ -33% |
| Cigna | New Business ASO | $206.80 | ↓ -33% |
| Cigna | Commercial | $206.80 | ↓ -33% |
| Aetna | EBR ASO | $206.80 | ↓ -33% |
| InterGroup | PPO | $258.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $301.23 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $316.42 | ↑ +2% |
| Coventry/First Health | Commercial | $361.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $413.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $423.76 | ↑ +37% |
| Private Health Care Systems | PPO | $439.45 | ↑ +42% |
| Humana | Commercial | $439.45 | ↑ +42% |
| Multiplan | PPO | $475.64 | ↑ +53% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $438.00 | $31.07 – $93.44 |
| UPMC Passavant-McCandless | Pittsburgh | $386.40 | $34.64 – $94.33 |
| UPMC Presbyterian | Pittsburgh | $455.40 | $36.84 – $94.33 |
| UPMC St. Margaret | Pittsburgh | $355.80 | $32.18 – $94.33 |
| UPMC Altoona | Altoona | $349.80 | $36.84 – $466.40 |
| UPMC Bedford | Everett | $580.80 | $13.45 – $871.20 |
| UPMC Carlisle | Carlisle | $207.60 | $36.90 – $294.10 |
| UPMC Cole | Coudersport | $163.80 | $24.23 – $218.40 |