Mayo immunoassay tumor antigen quantitative chromogranin a at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$128.40
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.
$214.00
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.
$19.48 with UPMC Health Plan vs $185.84 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 | $19.48 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $20.57 | ↓ -84% |
| UPMC Health Plan | Partners/Select | $21.35 | ↓ -83% |
| Aetna of PA | Medicare | $21.85 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $22.47 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $22.47 | ↓ -83% |
| United Healthcare | Medicare | $22.47 | ↓ -83% |
| Aetna | Medicare | $22.89 | ↓ -82% |
| UPMC Health Plan | Commercial | $31.62 | ↓ -75% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $31.64 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $31.64 | ↓ -75% |
| Aetna | CHIP/Medicaid | $37.39 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $40.61 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $42.65 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $44.77 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $45.51 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $49.01 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $64.55 | ↓ -50% |
| Aetna | Neighborhood Network | $72.72 | ↓ -43% |
| Aetna | EBR FI | $78.78 | ↓ -39% |
| Aetna | Home Depot Employer Group | $79.18 | ↓ -38% |
| Cigna | New Business ASO | $80.80 | ↓ -37% |
| Aetna | EBR ASO | $80.80 | ↓ -37% |
| Aetna | NBR ASO/FI | $80.80 | ↓ -37% |
| Cigna | Commercial | $80.80 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $86.45 | ↓ -33% |
| InterGroup | PPO | $101.00 | ↓ -21% |
| UPMC Health Plan | CHIP | $108.64 | ↓ -15% |
| Highmark BCBS of PA | UPMC Emergent | $129.67 | ↑ +1% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $136.21 | ↑ +6% |
| Coventry/First Health | Commercial | $141.40 | ↑ +10% |
| Preferred Healthcare System | PPO | $161.60 | ↑ +26% |
| Private Health Care Systems | PPO | $171.70 | ↑ +34% |
| Humana | Commercial | $171.70 | ↑ +34% |
| Highmark BCBS of PA | Commercial - Indemnity | $182.42 | ↑ +42% |
| Multiplan | PPO | $185.84 | ↑ +45% |
Visitor-reported prices
Comments
Mayo immunoassay tumor antigen quantitative chromogranin a at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $176.40 | $17.35 – $40.22 |
| UPMC Passavant-McCandless | Pittsburgh | $400.80 | $19.34 – $40.61 |
| UPMC Presbyterian | Pittsburgh | $427.20 | $20.57 – $44.77 |
| UPMC St. Margaret | Pittsburgh | $159.00 | $17.97 – $44.90 |
| UPMC Altoona | Altoona | $134.40 | $20.57 – $179.20 |
| UPMC Bedford | Everett | $250.20 | $7.51 – $375.30 |
| UPMC Cole | Coudersport | $98.40 | $13.53 – $131.20 |
| UPMC East | Monroeville | $213.00 | $20.57 – $284.00 |