healthcosts.net
Abl1 gene at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$2,004.60
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.
$3,341.00
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.
$230.27 with Highmark BCBS of PA vs $2,502.75 with UPMC Health Plan — 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 | $230.27 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $250.08 | ↓ -88% |
| Aetna | Neighborhood Network | $285.98 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $289.97 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $296.49 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $300.00 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $303.15 | ↓ -85% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $307.86 | ↓ -85% |
| Aetna | Home Depot Employer Group | $312.11 | ↓ -84% |
| Aetna of PA | Medicare | $315.00 | ↓ -84% |
| Aetna | NBR ASO/FI | $317.75 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $324.00 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $324.00 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $324.00 | ↓ -84% |
| Aetna | Medicare | $330.00 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $347.76 | ↓ -83% |
| Cigna | New Business ASO | $348.50 | ↓ -83% |
| Bravo | Medicare | $358.75 | ↓ -82% |
| Aetna | EBR FI | $389.50 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $390.93 | ↓ -80% |
| Cigna | Commercial | $410.00 | ↓ -80% |
| Aetna | EBR ASO | $410.00 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $417.14 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $449.24 | ↓ -78% |
| Coventry/First Health | Commercial | $451.00 | ↓ -78% |
| Highmark BCBS of PA | Managed Care | $465.69 | ↓ -77% |
| InterGroup | PPO | $512.50 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $549.66 | ↓ -73% |
| Cigna Behavioral Health | Commercial | $615.00 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity | $736.12 | ↓ -63% |
| Private Health Care Systems | PPO | $768.75 | ↓ -62% |
| InterGroup | Approved National Affiliated PPO Business | $820.00 | ↓ -59% |
| American Healthcare Group | Commercial | $820.00 | ↓ -59% |
| National Provider Network | PPO | $840.50 | ↓ -58% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $922.50 | ↓ -54% |
| Health Payors Organization | Commercial | $922.50 | ↓ -54% |
| UPMC Health Plan | Commercial | $1,617.31 | ↓ -19% |
| UPMC Health Plan | CHIP | $2,502.75 | ↑ +25% |
Visitor-reported prices
Comments
Abl1 gene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,373.80 | $232.46 – $2,408.05 |
| UPMC Presbyterian | Pittsburgh | $3,373.20 | $232.46 – $1,816.45 |
| UPMC St. Margaret | Pittsburgh | $2,004.60 | $232.46 – $2,839.85 |
| UPMC Northwest | Seneca | $1,282.20 | $272.07 – $871.25 |
| UPMC Williamsport | Williamsport | $3,217.80 | $289.97 – $812.00 |