Infectious agent nucleic acid quantification bk virus at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$354.60
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.
$591.00
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.
$38.17 with Aetna vs $515.64 with Highmark BCBS of PA — 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 | Medicare | $38.17 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $40.09 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $42.34 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $43.95 | ↓ -88% |
| Aetna of PA | Medicare | $44.98 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $46.26 | ↓ -87% |
| United Healthcare | Medicare | $46.27 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $46.27 | ↓ -87% |
| UPMC Health Plan | Commercial | $91.77 | ↓ -74% |
| Aetna | CHIP/Medicaid | $99.00 | ↓ -72% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $114.79 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $182.46 | ↓ -49% |
| Aetna | Neighborhood Network | $198.00 | ↓ -44% |
| Aetna | EBR FI | $214.50 | ↓ -40% |
| Aetna | Home Depot Employer Group | $215.60 | ↓ -39% |
| Cigna | New Business ASO | $220.00 | ↓ -38% |
| Cigna | Commercial | $220.00 | ↓ -38% |
| Aetna | NBR ASO/FI | $220.00 | ↓ -38% |
| Aetna | EBR ASO | $220.00 | ↓ -38% |
| Highmark BCBS of PA | Managed Care | $244.36 | ↓ -31% |
| InterGroup | PPO | $275.00 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $302.50 | ↓ -15% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $302.50 | ↓ -15% |
| UPMC Health Plan | CHIP | $315.28 | ↓ -11% |
| Highmark BCBS of PA | UPMC Emergent | $366.54 | ↑ +3% |
| Coventry/First Health | Commercial | $385.00 | ↑ +9% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $385.03 | ↑ +9% |
| Preferred Healthcare System | PPO | $440.00 | ↑ +24% |
| Private Health Care Systems | PPO | $467.50 | ↑ +32% |
| Humana | Commercial | $467.50 | ↑ +32% |
| Multiplan | PPO | $506.00 | ↑ +43% |
| Highmark BCBS of PA | Commercial - Indemnity | $515.64 | ↑ +45% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification bk virus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $300.00 | $35.71 – $113.70 |
| UPMC Passavant-McCandless | Pittsburgh | $483.00 | $39.81 – $114.79 |
| UPMC Presbyterian | Pittsburgh | $664.80 | $31.36 – $114.79 |
| UPMC St. Margaret | Pittsburgh | $379.20 | $36.99 – $114.79 |
| UPMC Altoona | Altoona | $427.20 | $42.34 – $569.60 |
| UPMC Bedford | Everett | $254.40 | $15.46 – $381.60 |
| UPMC Carlisle | Carlisle | $238.80 | $23.56 – $338.30 |
| UPMC Cole | Coudersport | $584.40 | $27.85 – $779.20 |