Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,322.40
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.
$2,204.00
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.
$136.26 with Aetna vs $3,298.34 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $136.26 | ↓ -90% |
| Aetna | Neighborhood Network | $272.52 | ↓ -79% |
| Aetna | EBR FI | $295.23 | ↓ -78% |
| Aetna | Home Depot Employer Group | $296.74 | ↓ -78% |
| Cigna | New Business ASO | $302.80 | ↓ -77% |
| Aetna | EBR ASO | $302.80 | ↓ -77% |
| Aetna | NBR ASO/FI | $302.80 | ↓ -77% |
| Cigna | Commercial | $302.80 | ↓ -77% |
| InterGroup | PPO | $378.50 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $387.03 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $390.06 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $411.91 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $416.35 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $416.35 | ↓ -69% |
| UPMC Health Plan | Partners/Select | $427.53 | ↓ -68% |
| Aetna of PA | Medicare | $437.62 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $450.08 | ↓ -66% |
| United Healthcare | Medicare | $450.12 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $450.12 | ↓ -66% |
| Aetna | Medicare | $458.46 | ↓ -65% |
| Coventry/First Health | Commercial | $529.90 | ↓ -60% |
| Preferred Healthcare System | PPO | $605.60 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $615.20 | ↓ -53% |
| Humana | Commercial | $643.45 | ↓ -51% |
| Private Health Care Systems | PPO | $643.45 | ↓ -51% |
| Multiplan | PPO | $696.44 | ↓ -47% |
| Highmark BCBS of PA | Managed Care | $823.93 | ↓ -38% |
| Highmark BCBS of PA | UPMC Emergent | $1,235.89 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,298.22 | ↓ -2% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,738.61 | ↑ +31% |
| UPMC Health Plan | Commercial | $1,804.02 | ↑ +36% |
| UPMC Health Plan | CHIP | $3,298.34 | ↑ +149% |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $454.20 | $347.43 – $458.46 |
| UPMC Passavant-McCandless | Pittsburgh | $481.80 | $387.03 – $478.97 |
| UPMC Presbyterian | Pittsburgh | $2,071.20 | $305.09 – $1,816.98 |
| UPMC St. Margaret | Pittsburgh | $454.20 | $359.85 – $458.46 |
| UPMC Altoona | Altoona | $438.00 | $365.00 – $584.00 |
| UPMC Carlisle | Carlisle | $876.60 | $200.16 – $1,241.85 |
| UPMC Community Osteopathic | Harrisburg | $876.60 | $292.20 – $3,298.34 |
| UPMC East | Monroeville | $454.20 | $249.81 – $605.60 |