Mayo paval fluorescent antibody screen agna type 1 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$150.00
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.
$250.00
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.
$11.28 with UPMC Health Plan vs $127.88 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 | $11.28 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $11.91 | ↓ -92% |
| UPMC Health Plan | Partners/Select | $12.36 | ↓ -92% |
| Aetna of PA | Medicare | $12.65 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.01 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $13.01 | ↓ -91% |
| United Healthcare | Medicare | $13.01 | ↓ -91% |
| Aetna | Medicare | $13.26 | ↓ -91% |
| UPMC Health Plan | Commercial | $17.31 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $18.08 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $18.08 | ↓ -88% |
| Aetna | CHIP/Medicaid | $21.37 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $23.51 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.38 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $25.59 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.01 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.02 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $37.37 | ↓ -75% |
| Aetna | Neighborhood Network | $50.04 | ↓ -67% |
| Highmark BCBS of PA | Managed Care | $50.05 | ↓ -67% |
| Aetna | EBR FI | $54.21 | ↓ -64% |
| Aetna | Home Depot Employer Group | $54.49 | ↓ -64% |
| Cigna | New Business ASO | $55.60 | ↓ -63% |
| Aetna | EBR ASO | $55.60 | ↓ -63% |
| Aetna | NBR ASO/FI | $55.60 | ↓ -63% |
| Cigna | Commercial | $55.60 | ↓ -63% |
| UPMC Health Plan | CHIP | $59.47 | ↓ -60% |
| InterGroup | PPO | $69.50 | ↓ -54% |
| Highmark BCBS of PA | UPMC Emergent | $75.08 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $78.87 | ↓ -47% |
| Coventry/First Health | Commercial | $97.30 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Indemnity | $105.62 | ↓ -30% |
| Preferred Healthcare System | PPO | $111.20 | ↓ -26% |
| Private Health Care Systems | PPO | $118.15 | ↓ -21% |
| Humana | Commercial | $118.15 | ↓ -21% |
| Multiplan | PPO | $127.88 | ↓ -15% |
Visitor-reported prices
Comments
Mayo paval fluorescent antibody screen agna type 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $213.00 | $10.04 – $23.29 |
| UPMC Passavant-McCandless | Pittsburgh | $165.00 | $11.20 – $23.51 |
| UPMC Presbyterian | Pittsburgh | $383.40 | $11.91 – $25.59 |
| UPMC St. Margaret | Pittsburgh | $192.60 | $10.40 – $25.66 |
| UPMC Altoona | Altoona | $115.80 | $11.91 – $154.40 |
| UPMC Bedford | Everett | $75.00 | $4.35 – $112.50 |
| UPMC Carlisle | Carlisle | $66.60 | $11.93 – $94.35 |
| UPMC Cole | Coudersport | $86.40 | $7.83 – $115.20 |