Reticulated platelet assay at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$283.20
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.
$472.00
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.
$14.87 with UPMC Health Plan vs $434.24 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 | $14.87 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $32.92 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $32.92 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $33.45 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $35.33 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $36.66 | ↓ -87% |
| Aetna of PA | Medicare | $37.53 | ↓ -87% |
| United Healthcare | Medicare | $38.60 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.60 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $38.60 | ↓ -86% |
| Aetna | CHIP/Medicaid | $38.91 | ↓ -86% |
| Aetna | Medicare | $39.31 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.39 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $46.59 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.36 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $51.01 | ↓ -82% |
| UPMC Health Plan | CHIP | $51.07 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $72.55 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $115.32 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $154.44 | ↓ -45% |
| Aetna | Neighborhood Network | $169.92 | ↓ -40% |
| Aetna | EBR FI | $184.08 | ↓ -35% |
| Aetna | Home Depot Employer Group | $185.02 | ↓ -35% |
| Cigna | New Business ASO | $188.80 | ↓ -33% |
| Aetna | EBR ASO | $188.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $188.80 | ↓ -33% |
| Cigna | Commercial | $188.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $231.66 | ↓ -18% |
| InterGroup | PPO | $236.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $243.34 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Indemnity | $325.89 | ↑ +15% |
| Coventry/First Health | Commercial | $330.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $377.60 | ↑ +33% |
| Humana | Commercial | $401.20 | ↑ +42% |
| Private Health Care Systems | PPO | $401.20 | ↑ +42% |
| Multiplan | PPO | $434.24 | ↑ +53% |
Visitor-reported prices
Comments
Reticulated platelet assay at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $313.80 | $14.17 – $72.55 |
| UPMC Presbyterian | Pittsburgh | $396.00 | $14.95 – $72.55 |
| WellSpan Chambersburg Hospital | Chambersburg | $185.60 | $29.93 – $167.04 |
| WellSpan Ephrata Community Hospital | Ephrata | $148.80 | $29.93 – $162.26 |
| Uniontown Hospital | Uniontown | $139.00 | $32.92 – $74.23 |
| WellSpan Waynesboro Hospital | Waynesboro | $185.60 | $3.75 – $176.65 |
| WellSpan Good Samaritan Hospital | Lebanon | $220.80 | $35.74 – $162.26 |
| WellSpan Gettysburg Hospital | Gettysburg | $176.00 | $29.93 – $147.61 |