Surgical pathology level 5 gross & microscopic examination at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$799.80
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.
?
What you pay up front if you don't use insurance.
$1,333.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$38.01 with UPMC Health Plan vs $1,226.36 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $38.01 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $49.52 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $50.05 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $50.05 | ↓ -94% |
| Aetna | CHIP/Medicaid | $59.15 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $67.48 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $70.83 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $72.00 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $77.54 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $78.72 | ↓ -90% |
| Highmark BCBS of PA | Managed Care | $105.42 | ↓ -87% |
| UPMC Health Plan | CHIP | $130.59 | ↓ -84% |
| Highmark BCBS of PA | UPMC Emergent | $158.13 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $166.11 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity | $222.46 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $269.87 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $320.97 | ↓ -60% |
| UPMC Health Plan | Partners/Select | $351.80 | ↓ -56% |
| Aetna of PA | Medicare | $360.10 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $370.35 | ↓ -54% |
| United Healthcare | Medicare | $370.39 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $370.39 | ↓ -54% |
| Aetna | Medicare | $377.25 | ↓ -53% |
| Aetna | Neighborhood Network | $479.88 | ↓ -40% |
| Aetna | EBR FI | $519.87 | ↓ -35% |
| Aetna | Home Depot Employer Group | $522.54 | ↓ -35% |
| Aetna | EBR ASO | $533.20 | ↓ -33% |
| Cigna | Commercial | $533.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $533.20 | ↓ -33% |
| Cigna | New Business ASO | $533.20 | ↓ -33% |
| InterGroup | PPO | $666.50 | ↓ -17% |
| Coventry/First Health | Commercial | $933.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,066.40 | ↑ +33% |
| Private Health Care Systems | PPO | $1,133.05 | ↑ +42% |
| Humana | Commercial | $1,133.05 | ↑ +42% |
| Multiplan | PPO | $1,226.36 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $505.20 | $36.03 – $377.25 |
| UPMC Passavant-McCandless | Pittsburgh | $440.40 | $36.24 – $377.25 |
| UPMC Presbyterian | Pittsburgh | $1,323.60 | $13.80 – $377.25 |
| UPMC St. Margaret | Pittsburgh | $888.00 | $36.33 – $377.25 |
| UPMC Altoona | Altoona | $234.60 | $11.50 – $312.80 |
| UPMC Bedford | Everett | $189.60 | $36.42 – $284.40 |
| UPMC Carlisle | Carlisle | $664.80 | $15.06 – $941.80 |
| UPMC Cole | Coudersport | $572.40 | $47.77 – $763.20 |