Pregnancy associated plasma protein-a at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$104.40
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.
$174.00
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.
$14.09 with UPMC Health Plan vs $176.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $14.09 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $14.88 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $15.44 | ↓ -85% |
| Aetna of PA | Medicare | $15.80 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $16.25 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $16.25 | ↓ -84% |
| United Healthcare | Medicare | $16.25 | ↓ -84% |
| Aetna | Medicare | $16.55 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $17.84 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $17.84 | ↓ -83% |
| UPMC Health Plan | Commercial | $17.91 | ↓ -83% |
| Aetna | CHIP/Medicaid | $21.09 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.05 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $25.25 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $25.67 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $27.64 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $39.31 | ↓ -62% |
| Aetna | Neighborhood Network | $55.80 | ↓ -47% |
| Aetna | EBR FI | $60.45 | ↓ -42% |
| Aetna | Home Depot Employer Group | $60.76 | ↓ -42% |
| UPMC Health Plan | CHIP | $61.54 | ↓ -41% |
| Cigna | Commercial | $62.00 | ↓ -41% |
| Aetna | EBR ASO | $62.00 | ↓ -41% |
| Cigna | New Business ASO | $62.00 | ↓ -41% |
| Aetna | NBR ASO/FI | $62.00 | ↓ -41% |
| Highmark BCBS of PA | Managed Care - Social Mission | $62.49 | ↓ -40% |
| InterGroup | PPO | $77.50 | ↓ -26% |
| Highmark BCBS of PA | Managed Care | $83.69 | ↓ -20% |
| Coventry/First Health | Commercial | $108.50 | ↑ +4% |
| Preferred Healthcare System | PPO | $124.00 | ↑ +19% |
| Highmark BCBS of PA | UPMC Emergent | $125.54 | ↑ +20% |
| Humana | Commercial | $131.75 | ↑ +26% |
| Private Health Care Systems | PPO | $131.75 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $131.87 | ↑ +26% |
| Multiplan | PPO | $142.60 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Indemnity | $176.60 | ↑ +69% |
Visitor-reported prices
Comments
Pregnancy associated plasma protein-a at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $181.80 | $12.55 – $38.94 |
| UPMC Passavant-McCandless | Pittsburgh | $144.60 | $13.99 – $39.31 |
| UPMC Presbyterian | Pittsburgh | $104.40 | $14.88 – $39.31 |
| UPMC St. Margaret | Pittsburgh | $136.20 | $12.99 – $39.31 |
| UPMC Altoona | Altoona | $156.00 | $14.88 – $198.40 |
| UPMC Bedford | Everett | $229.80 | $5.43 – $344.70 |
| UPMC Cole | Coudersport | $67.20 | $9.78 – $89.60 |
| UPMC East | Monroeville | $302.40 | $14.88 – $403.20 |