Warde 1007138 vanillymandelic acid 24 hour urine at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$94.80
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.
$158.00
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.
$13.20 with United Healthcare Community Plan for Families vs $145.36 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $13.20 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $13.20 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $14.51 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $15.32 | ↓ -84% |
| Aetna | CHIP/Medicaid | $15.60 | ↓ -84% |
| UPMC Health Plan | Partners/Select | $15.90 | ↓ -83% |
| Aetna of PA | Medicare | $16.27 | ↓ -83% |
| United Healthcare | Medicare | $16.74 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $16.74 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $16.74 | ↓ -82% |
| Aetna | Medicare | $17.05 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.80 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $18.68 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.99 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20.45 | ↓ -78% |
| UPMC Health Plan | Commercial | $27.26 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $30.25 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $48.08 | ↓ -49% |
| Aetna | Neighborhood Network | $56.88 | ↓ -40% |
| Aetna | EBR FI | $61.62 | ↓ -35% |
| Aetna | Home Depot Employer Group | $61.94 | ↓ -35% |
| Aetna | EBR ASO | $63.20 | ↓ -33% |
| Cigna | Commercial | $63.20 | ↓ -33% |
| Cigna | New Business ASO | $63.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $63.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $64.40 | ↓ -32% |
| InterGroup | PPO | $79.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $93.63 | ↓ -1% |
| Highmark BCBS of PA | UPMC Emergent | $96.59 | ↑ +2% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $101.47 | ↑ +7% |
| Coventry/First Health | Commercial | $110.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $126.40 | ↑ +33% |
| Humana | Commercial | $134.30 | ↑ +42% |
| Private Health Care Systems | PPO | $134.30 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $135.89 | ↑ +43% |
| Multiplan | PPO | $145.36 | ↑ +53% |
Visitor-reported prices
Comments
Warde 1007138 vanillymandelic acid 24 hour urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $165.60 | $12.92 – $29.96 |
| UPMC Passavant-McCandless | Pittsburgh | $298.20 | $13.20 – $30.25 |
| UPMC Presbyterian | Pittsburgh | $96.60 | $12.00 – $30.25 |
| UPMC St. Margaret | Pittsburgh | $222.60 | $13.20 – $30.25 |
| UPMC Altoona | Altoona | $208.20 | $12.00 – $277.60 |
| UPMC Bedford | Everett | $83.40 | $5.59 – $125.10 |
| UPMC Carlisle | Carlisle | $78.60 | $7.45 – $111.35 |
| UPMC Cole | Coudersport | $107.40 | $10.08 – $143.20 |