Unlisted cytogenetic study at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$27.60
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.
$46.00
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.
$7.74 with Aetna vs $56.03 with Aetna — 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 | $7.74 | ↓ -72% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $11.71 | ↓ -58% |
| UPMC Health Plan | Commercial | $11.74 | ↓ -57% |
| Aetna | Neighborhood Network | $15.48 | ↓ -44% |
| Aetna | EBR FI | $16.77 | ↓ -39% |
| Aetna | Home Depot Employer Group | $16.86 | ↓ -39% |
| Aetna | EBR ASO | $17.20 | ↓ -38% |
| Aetna | NBR ASO/FI | $17.20 | ↓ -38% |
| Cigna | Commercial | $17.20 | ↓ -38% |
| Cigna | New Business ASO | $17.20 | ↓ -38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $18.61 | ↓ -33% |
| InterGroup | PPO | $21.50 | ↓ -22% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.65 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $23.65 | ↓ -14% |
| Highmark BCBS of PA | Managed Care | $24.93 | ↓ -10% |
| Coventry/First Health | Commercial | $30.10 | ↑ +9% |
| Preferred Healthcare System | PPO | $34.40 | ↑ +25% |
| Humana | Commercial | $36.55 | ↑ +32% |
| Private Health Care Systems | PPO | $36.55 | ↑ +32% |
| Highmark BCBS of PA | UPMC Emergent | $37.39 | ↑ +35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $39.28 | ↑ +42% |
| Multiplan | PPO | $39.56 | ↑ +43% |
| UPMC Health Plan | CHIP | $40.32 | ↑ +46% |
| UPMC Health Plan | Managed Medicare | $47.67 | ↑ +73% |
| UPMC Health Plan | Partners/Select | $52.25 | ↑ +89% |
| Highmark BCBS of PA | Commercial - Indemnity | $52.60 | ↑ +91% |
| Aetna of PA | Medicare | $53.49 | ↑ +94% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.01 | ↑ +99% |
| AmeriHealth Caritas | Medicare | $55.02 | ↑ +99% |
| United Healthcare | Medicare | $55.02 | ↑ +99% |
| Aetna | Medicare | $56.03 | ↑ +103% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |