healthcosts.net
Albumin body fluid quantitative each specimen at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$24.00
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.
$40.00
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.
$0.66 with UPMC Health Plan vs $33.30 with Health Payors Organization — 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $0.66 | ↓ -97% |
| UPMC Health Plan | CHIP | $2.41 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4.44 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $6.49 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6.71 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $7.69 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $7.78 | ↓ -68% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $7.98 | ↓ -67% |
| Aetna of PA | Medicare | $8.17 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $8.40 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.40 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.40 | ↓ -65% |
| Aetna | Medicare | $8.56 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $8.98 | ↓ -63% |
| Aetna | Neighborhood Network | $10.32 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10.60 | ↓ -56% |
| Aetna | Home Depot Employer Group | $11.27 | ↓ -53% |
| Aetna | NBR ASO/FI | $11.47 | ↓ -52% |
| Cigna | New Business ASO | $12.58 | ↓ -48% |
| Bravo | Medicare | $12.95 | ↓ -46% |
| Aetna | EBR FI | $14.06 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Indemnity | $14.20 | ↓ -41% |
| Cigna | Commercial | $14.80 | ↓ -38% |
| Aetna | EBR ASO | $14.80 | ↓ -38% |
| Coventry/First Health | Commercial | $16.28 | ↓ -32% |
| InterGroup | PPO | $18.50 | ↓ -23% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20.35 | ↓ -15% |
| Cigna Behavioral Health | Commercial | $22.20 | ↓ -8% |
| Private Health Care Systems | PPO | $27.75 | ↑ +16% |
| InterGroup | Approved National Affiliated PPO Business | $29.60 | ↑ +23% |
| American Healthcare Group | Commercial | $29.60 | ↑ +23% |
| National Provider Network | PPO | $30.34 | ↑ +26% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $33.30 | ↑ +39% |
| Health Payors Organization | Commercial | $33.30 | ↑ +39% |
Visitor-reported prices
Comments
Albumin body fluid quantitative each specimen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $16.80 | $0.67 – $23.80 |
| UPMC Presbyterian | Pittsburgh | $93.60 | $0.71 – $132.60 |
| UPMC St. Margaret | Pittsburgh | $37.20 | $0.67 – $52.70 |
| UPMC Muncy | Muncy | $63.60 | $6.08 – $84.80 |
| UPMC Northwest | Seneca | $15.00 | $0.67 – $21.25 |
| UPMC Somerset | Somerset | $40.20 | $1.66 – $50.25 |
| UPMC Wellsboro | Wellsboro | $76.60 | $6.08 – $41.40 |
| UPMC Williamsport | Williamsport | $63.60 | $6.08 – $84.80 |