Mayo alkaline phosphatase isoenzyme at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$719.40
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.
$1,199.00
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.
$13.83 with UPMC Health Plan vs $1,103.08 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 | $13.83 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $14.60 | ↓ -98% |
| UPMC Health Plan | Partners/Select | $15.16 | ↓ -98% |
| Aetna of PA | Medicare | $15.52 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.96 | ↓ -98% |
| United Healthcare | Medicare | $15.96 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $15.96 | ↓ -98% |
| Aetna | Medicare | $16.26 | ↓ -98% |
| UPMC Health Plan | Commercial | $21.27 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $28.86 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $45.88 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $61.44 | ↓ -91% |
| UPMC Health Plan | CHIP | $73.08 | ↓ -90% |
| Highmark BCBS of PA | UPMC Emergent | $92.16 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $96.81 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Indemnity | $129.65 | ↓ -82% |
| Aetna | CHIP/Medicaid | $215.82 | ↓ -70% |
| Aetna | Neighborhood Network | $431.64 | ↓ -40% |
| Aetna | EBR FI | $467.61 | ↓ -35% |
| Aetna | Home Depot Employer Group | $470.01 | ↓ -35% |
| Aetna | NBR ASO/FI | $479.60 | ↓ -33% |
| Aetna | EBR ASO | $479.60 | ↓ -33% |
| Cigna | New Business ASO | $479.60 | ↓ -33% |
| Cigna | Commercial | $479.60 | ↓ -33% |
| InterGroup | PPO | $599.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $659.45 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $659.45 | ↓ -8% |
| Coventry/First Health | Commercial | $839.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $959.20 | ↑ +33% |
| Private Health Care Systems | PPO | $1,019.15 | ↑ +42% |
| Humana | Commercial | $1,019.15 | ↑ +42% |
| Multiplan | PPO | $1,103.08 | ↑ +53% |
Visitor-reported prices
Comments
Mayo alkaline phosphatase isoenzyme at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $116.40 | $12.32 – $28.59 |
| UPMC Passavant-McCandless | Pittsburgh | $154.80 | $13.74 – $28.86 |
| UPMC Presbyterian | Pittsburgh | $303.00 | $10.82 – $28.86 |
| UPMC St. Margaret | Pittsburgh | $156.60 | $12.76 – $28.86 |
| UPMC Altoona | Altoona | $78.00 | $14.60 – $104.00 |
| UPMC Bedford | Everett | $66.60 | $5.33 – $99.90 |
| AHN WEXFORD HOSPITAL | WEXFORD | $93.24 | $7.16 – $16.11 |
| GROVE CITY HOSPITAL | GROVE CITY | $97.02 | $9.76 – $16.11 |