Trg gene rearrangement anal at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$1,114.80
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.
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What you pay up front if you don't use insurance.
$1,858.00
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.
$93.96 with Aetna vs $1,155.19 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $93.96 | ↓ -92% |
| Aetna | Neighborhood Network | $187.92 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $188.58 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $199.14 | ↓ -82% |
| Aetna | EBR FI | $203.58 | ↓ -82% |
| Aetna | Home Depot Employer Group | $204.62 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $206.70 | ↓ -81% |
| Cigna | Commercial | $208.80 | ↓ -81% |
| Aetna | NBR ASO/FI | $208.80 | ↓ -81% |
| Aetna | EBR ASO | $208.80 | ↓ -81% |
| Cigna | New Business ASO | $208.80 | ↓ -81% |
| Aetna of PA | Medicare | $211.57 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $217.60 | ↓ -80% |
| United Healthcare | Medicare | $217.62 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $217.62 | ↓ -80% |
| Aetna | Medicare | $221.65 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $257.16 | ↓ -77% |
| InterGroup | PPO | $261.00 | ↓ -77% |
| UPMC Health Plan | Commercial | $267.42 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $287.10 | ↓ -74% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $287.10 | ↓ -74% |
| Coventry/First Health | Commercial | $365.40 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $408.76 | ↓ -63% |
| Preferred Healthcare System | PPO | $417.60 | ↓ -63% |
| Humana | Commercial | $443.70 | ↓ -60% |
| Private Health Care Systems | PPO | $443.70 | ↓ -60% |
| Multiplan | PPO | $480.24 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $547.45 | ↓ -51% |
| Highmark BCBS of PA | UPMC Emergent | $821.17 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $862.58 | ↓ -23% |
| UPMC Health Plan | CHIP | $918.68 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,155.19 | ↑ +4% |
Visitor-reported prices
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Trg gene rearrangement anal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,114.80 | $167.97 – $254.73 |
| UPMC Passavant-McCandless | Pittsburgh | $1,181.40 | $187.25 – $257.16 |
| UPMC Presbyterian | Pittsburgh | $1,671.60 | $147.50 – $269.01 |
| UPMC St. Margaret | Pittsburgh | $1,114.20 | $173.98 – $257.16 |
| UPMC Altoona | Altoona | $950.40 | $199.14 – $405.60 |
| UPMC Bedford | Everett | $1,114.20 | $72.70 – $965.70 |
| UPMC Cole | Coudersport | $908.40 | $53.00 – $1,211.20 |
| UPMC East | Monroeville | $1,114.20 | $172.26 – $417.60 |