healthcosts.net
Chromosome analysis 15-20 cell count at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$941.40
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.
?
What you pay up front if you don't use insurance.
$1,569.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$104.61 with UPMC Health Plan vs $1,412.10 with Health Payors Organization — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Managed Medicare | $104.61 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $124.02 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $125.49 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $128.78 | ↓ -86% |
| Aetna of PA | Medicare | $131.76 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $135.53 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $135.53 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $135.53 | ↓ -86% |
| Aetna | Medicare | $138.04 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $189.47 | ↓ -80% |
| UPMC Health Plan | Commercial | $192.23 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $198.09 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $240.88 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $255.45 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $272.57 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $293.55 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $363.79 | ↓ -61% |
| Aetna | Neighborhood Network | $437.75 | ↓ -54% |
| Aetna | Home Depot Employer Group | $477.76 | ↓ -49% |
| Aetna | NBR ASO/FI | $486.39 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $487.15 | ↓ -48% |
| Cigna | New Business ASO | $533.46 | ↓ -43% |
| Bravo | Medicare | $549.15 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $574.99 | ↓ -39% |
| Aetna | EBR FI | $596.22 | ↓ -37% |
| Cigna | Commercial | $627.60 | ↓ -33% |
| Aetna | EBR ASO | $627.60 | ↓ -33% |
| Coventry/First Health | Commercial | $690.36 | ↓ -27% |
| UPMC Health Plan | CHIP | $696.75 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Indemnity | $770.05 | ↓ -18% |
| InterGroup | PPO | $784.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $941.40 | ↑ +0% |
| Private Health Care Systems | PPO | $1,176.75 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $1,255.20 | ↑ +33% |
| American Healthcare Group | Commercial | $1,255.20 | ↑ +33% |
| National Provider Network | PPO | $1,286.58 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,412.10 | ↑ +50% |
| Health Payors Organization | Commercial | $1,412.10 | ↑ +50% |
Visitor-reported prices
Comments
Chromosome analysis 15-20 cell count at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,020.00 | $116.62 – $718.25 |
| UPMC Presbyterian | Pittsburgh | $604.20 | $124.02 – $855.95 |
| UPMC St. Margaret | Pittsburgh | $1,536.00 | $108.35 – $2,176.00 |
| UPMC Muncy | Muncy | $1,017.00 | $124.02 – $1,356.00 |
| UPMC Northwest | Seneca | $817.80 | $113.81 – $1,158.55 |
| UPMC Somerset | Somerset | $897.60 | $124.02 – $1,122.00 |
| UPMC Wellsboro | Wellsboro | $1,241.60 | $124.02 – $1,383.30 |
| UPMC Williamsport | Williamsport | $1,017.00 | $124.02 – $1,356.00 |