healthcosts.net
Dpyd gene common variants at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$2,524.20
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.
$4,207.00
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.
$110.86 with Highmark BCBS of PA vs $2,303.10 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $110.86 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $145.72 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $167.42 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $172.77 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $174.81 | ↓ -93% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $179.39 | ↓ -93% |
| Aetna of PA | Medicare | $183.55 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $188.79 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $188.79 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $188.79 | ↓ -93% |
| Aetna | Medicare | $192.29 | ↓ -92% |
| Highmark BCBS of PA | Managed Care | $224.20 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $264.62 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity | $354.39 | ↓ -86% |
| Aetna | Neighborhood Network | $713.96 | ↓ -72% |
| Aetna | Home Depot Employer Group | $779.22 | ↓ -69% |
| Aetna | NBR ASO/FI | $793.29 | ↓ -69% |
| Cigna | New Business ASO | $870.06 | ↓ -66% |
| UPMC Health Plan | CHIP | $895.65 | ↓ -65% |
| Bravo | Medicare | $895.65 | ↓ -65% |
| Aetna | EBR FI | $972.42 | ↓ -61% |
| Cigna | Commercial | $1,023.60 | ↓ -59% |
| Aetna | EBR ASO | $1,023.60 | ↓ -59% |
| Coventry/First Health | Commercial | $1,125.96 | ↓ -55% |
| UPMC Health Plan | Commercial | $1,151.55 | ↓ -54% |
| InterGroup | PPO | $1,279.50 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,407.45 | ↓ -44% |
| Cigna Behavioral Health | Commercial | $1,535.40 | ↓ -39% |
| Private Health Care Systems | PPO | $1,919.25 | ↓ -24% |
| InterGroup | Approved National Affiliated PPO Business | $2,047.20 | ↓ -19% |
| American Healthcare Group | Commercial | $2,047.20 | ↓ -19% |
| National Provider Network | PPO | $2,098.38 | ↓ -17% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $2,303.10 | ↓ -9% |
| Health Payors Organization | Commercial | $2,303.10 | ↓ -9% |
Visitor-reported prices
Comments
Dpyd gene common variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,524.20 | $111.91 – $1,516.40 |
| UPMC Presbyterian | Pittsburgh | $2,524.20 | $111.91 – $1,145.80 |
| UPMC St. Margaret | Pittsburgh | $2,524.20 | $111.91 – $2,175.15 |
| UPMC Muncy | Muncy | $2,358.60 | $136.49 – $3,144.80 |
| UPMC Northwest | Seneca | $2,524.20 | $158.54 – $2,175.15 |
| UPMC Wellsboro | Wellsboro | $2,358.60 | $136.49 – $3,537.90 |
| UPMC Williamsport | Williamsport | $2,476.80 | $136.49 – $2,028.00 |