Mayo microsomal antibody liver-kidney at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$39.00
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.
$65.00
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.
$8.70 with United Healthcare Community Plan for Families vs $80.92 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $8.70 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $8.70 | ↓ -78% |
| Aetna | CHIP/Medicaid | $10.28 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.73 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $12.31 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.52 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13.48 | ↓ -65% |
| UPMC Health Plan | Managed Medicare | $13.62 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $14.38 | ↓ -63% |
| UPMC Health Plan | Partners/Select | $14.93 | ↓ -62% |
| Aetna of PA | Medicare | $15.28 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.71 | ↓ -60% |
| United Healthcare | Medicare | $15.71 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $15.71 | ↓ -60% |
| Aetna | Medicare | $16.00 | ↓ -59% |
| UPMC Health Plan | Commercial | $17.12 | ↓ -56% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.01 | ↓ -54% |
| Aetna | Neighborhood Network | $23.40 | ↓ -40% |
| Aetna | EBR FI | $25.35 | ↓ -35% |
| Aetna | Home Depot Employer Group | $25.48 | ↓ -35% |
| Aetna | EBR ASO | $26.00 | ↓ -33% |
| Cigna | Commercial | $26.00 | ↓ -33% |
| Cigna | New Business ASO | $26.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $26.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $28.63 | ↓ -27% |
| InterGroup | PPO | $32.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $38.35 | ↓ -2% |
| Coventry/First Health | Commercial | $45.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $52.00 | ↑ +33% |
| Private Health Care Systems | PPO | $55.25 | ↑ +42% |
| Humana | Commercial | $55.25 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $57.53 | ↑ +48% |
| UPMC Health Plan | CHIP | $58.80 | ↑ +51% |
| Multiplan | PPO | $59.80 | ↑ +53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $60.43 | ↑ +55% |
| Highmark BCBS of PA | Commercial - Indemnity | $80.92 | ↑ +107% |
Visitor-reported prices
Comments
Mayo microsomal antibody liver-kidney at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $136.20 | $8.70 – $17.84 |
| UPMC Passavant-McCandless | Pittsburgh | $126.60 | $8.70 – $18.01 |
| UPMC St. Margaret | Pittsburgh | $322.80 | $8.70 – $18.01 |
| UPMC Altoona | Altoona | $117.00 | $7.91 – $156.00 |
| UPMC Bedford | Everett | $66.60 | $5.25 – $99.90 |
| UPMC Carlisle | Carlisle | $81.00 | $7.91 – $102.00 |
| UPMC Cole | Coudersport | $132.60 | $8.31 – $176.80 |
| UPMC Community Osteopathic | Harrisburg | $81.00 | $7.91 – $102.00 |