Warde actin (smooth muscle) antibody each at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$99.00
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.
$165.00
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.
$4.94 with Highmark BCBS of PA vs $135.24 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4.94 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7.84 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $10.14 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $10.14 | ↓ -90% |
| Highmark BCBS of PA | Managed Care | $10.51 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $11.28 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $11.91 | ↓ -88% |
| Aetna | CHIP/Medicaid | $11.99 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $12.36 | ↓ -88% |
| Aetna of PA | Medicare | $12.65 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $13.01 | ↓ -87% |
| United Healthcare | Medicare | $13.01 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.01 | ↓ -87% |
| Aetna | Medicare | $13.26 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.67 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $14.35 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.59 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $15.71 | ↓ -84% |
| Highmark BCBS of PA | UPMC Emergent | $15.76 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $16.55 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity | $22.17 | ↓ -78% |
| UPMC Health Plan | Commercial | $26.68 | ↓ -73% |
| UPMC Health Plan | CHIP | $48.78 | ↓ -51% |
| Aetna | Neighborhood Network | $52.92 | ↓ -47% |
| Aetna | EBR FI | $57.33 | ↓ -42% |
| Aetna | Home Depot Employer Group | $57.62 | ↓ -42% |
| Cigna | Commercial | $58.80 | ↓ -41% |
| Cigna | New Business ASO | $58.80 | ↓ -41% |
| Aetna | NBR ASO/FI | $58.80 | ↓ -41% |
| Aetna | EBR ASO | $58.80 | ↓ -41% |
| InterGroup | PPO | $73.50 | ↓ -26% |
| Coventry/First Health | Commercial | $102.90 | ↑ +4% |
| Preferred Healthcare System | PPO | $117.60 | ↑ +19% |
| Humana | Commercial | $124.95 | ↑ +26% |
| Private Health Care Systems | PPO | $124.95 | ↑ +26% |
| Multiplan | PPO | $135.24 | ↑ +37% |
Visitor-reported prices
Comments
Warde actin (smooth muscle) antibody each at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $108.60 | $4.89 – $13.26 |
| UPMC Passavant-McCandless | Pittsburgh | $159.00 | $4.94 – $13.85 |
| UPMC St. Margaret | Pittsburgh | $192.60 | $4.94 – $14.39 |
| UPMC Altoona | Altoona | $336.60 | $4.89 – $448.80 |
| UPMC Bedford | Everett | $100.20 | $4.35 – $150.30 |
| UPMC Carlisle | Carlisle | $58.80 | $9.22 – $83.30 |
| UPMC Community Osteopathic | Harrisburg | $58.80 | $9.22 – $83.30 |
| UPMC East | Monroeville | $179.40 | $4.94 – $239.20 |