Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,051.20
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.
$1,752.00
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.
$108.89 with UPMC Health Plan vs $1,026.72 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 | Commercial | $108.89 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $135.56 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $143.15 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $148.58 | ↓ -86% |
| Aetna of PA | Medicare | $152.08 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $156.41 | ↓ -85% |
| United Healthcare | Medicare | $156.43 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $156.43 | ↓ -85% |
| Aetna | Medicare | $159.32 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $161.77 | ↓ -85% |
| Aetna | CHIP/Medicaid | $200.88 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $257.15 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $344.39 | ↓ -67% |
| UPMC Health Plan | CHIP | $374.08 | ↓ -64% |
| Aetna | Neighborhood Network | $401.76 | ↓ -62% |
| Aetna | EBR FI | $435.24 | ↓ -59% |
| Aetna | Home Depot Employer Group | $437.47 | ↓ -58% |
| Cigna | Commercial | $446.40 | ↓ -58% |
| Aetna | EBR ASO | $446.40 | ↓ -58% |
| Cigna | New Business ASO | $446.40 | ↓ -58% |
| Aetna | NBR ASO/FI | $446.40 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $516.59 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $542.64 | ↓ -48% |
| InterGroup | PPO | $558.00 | ↓ -47% |
| Geisinger | Medicaid/CHIP | $613.80 | ↓ -42% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $613.80 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $726.72 | ↓ -31% |
| Coventry/First Health | Commercial | $781.20 | ↓ -26% |
| Preferred Healthcare System | PPO | $892.80 | ↓ -15% |
| Humana | Commercial | $948.60 | ↓ -10% |
| Private Health Care Systems | PPO | $948.60 | ↓ -10% |
| Multiplan | PPO | $1,026.72 | ↓ -2% |
Visitor-reported prices
Comments
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,051.20 | $103.21 – $160.25 |
| UPMC Passavant-McCandless | Pittsburgh | $1,114.20 | $103.81 – $166.45 |
| UPMC Presbyterian | Pittsburgh | $1,051.20 | $106.02 – $166.45 |
| UPMC St. Margaret | Pittsburgh | $1,051.20 | $104.07 – $161.77 |
| UPMC Altoona | Altoona | $964.80 | $143.15 – $975.20 |
| UPMC Bedford | Everett | $1,051.20 | $52.26 – $1,576.80 |
| UPMC Carlisle | Carlisle | $837.60 | $79.66 – $1,186.60 |
| UPMC Community Osteopathic | Harrisburg | $837.60 | $115.74 – $1,186.60 |