healthcosts.net
Egfr gene com variants at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$142.20
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.
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What you pay up front if you don't use insurance.
$237.00
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.
$66.12 with Aetna vs $1,377.26 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $66.12 | ↓ -54% |
| Aetna | Home Depot Employer Group | $72.17 | ↓ -49% |
| Aetna | NBR ASO/FI | $73.47 | ↓ -48% |
| Cigna | New Business ASO | $80.58 | ↓ -43% |
| Bravo | Medicare | $82.95 | ↓ -42% |
| Aetna | EBR FI | $90.06 | ↓ -37% |
| Cigna | Commercial | $94.80 | ↓ -33% |
| Aetna | EBR ASO | $94.80 | ↓ -33% |
| Coventry/First Health | Commercial | $104.28 | ↓ -27% |
| InterGroup | PPO | $118.50 | ↓ -17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $123.20 | ↓ -13% |
| Cigna Behavioral Health | Commercial | $142.20 | ↑ +0% |
| Private Health Care Systems | PPO | $177.75 | ↑ +25% |
| Highmark BCBS of PA | Managed Care - Social Mission | $186.06 | ↑ +31% |
| InterGroup | Approved National Affiliated PPO Business | $189.60 | ↑ +33% |
| American Healthcare Group | Commercial | $189.60 | ↑ +33% |
| National Provider Network | PPO | $194.34 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $213.30 | ↑ +50% |
| Health Payors Organization | Commercial | $213.30 | ↑ +50% |
| Highmark BCBS of PA | Managed Care | $249.16 | ↑ +75% |
| UPMC Health Plan | Managed Medicare | $270.57 | ↑ +90% |
| UPMC Health Plan | Managed Medicaid | $289.67 | ↑ +104% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $294.08 | ↑ +107% |
| United Healthcare Community Plan for Families | PA Medicaid | $302.84 | ↑ +113% |
| UPMC Work Partners | Workers Comp | $320.80 | ↑ +126% |
| Geisinger | Medicaid/CHIP | $324.58 | ↑ +128% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $333.08 | ↑ +134% |
| Aetna of PA | Medicare | $340.81 | ↑ +140% |
| AmeriHealth Caritas | Medicare | $350.55 | ↑ +147% |
| Highmark Wholecare (prev Gateway) | Medicare | $350.55 | ↑ +147% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $350.55 | ↑ +147% |
| Aetna | Medicare | $357.04 | ↑ +151% |
| UPMC Health Plan | Commercial | $379.98 | ↑ +167% |
| Highmark Wholecare (prev Gateway) | Medicaid | $390.53 | ↑ +175% |
| Highmark BCBS of PA | Commercial - Indemnity | $393.85 | ↑ +177% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $416.71 | ↑ +193% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $448.78 | ↑ +216% |
| UPMC Health Plan | CHIP | $1,377.26 | ↑ +869% |
Visitor-reported prices
Comments
Egfr gene com variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,001.60 | $76.16 – $357.04 |
| UPMC Presbyterian | Pittsburgh | $808.80 | $124.37 – $409.94 |
| UPMC Muncy | Muncy | $793.80 | $198.45 – $1,058.40 |
| UPMC Somerset | Somerset | $1,875.60 | $121.96 – $2,344.50 |
| UPMC Wellsboro | Wellsboro | $1,008.00 | $31.50 – $397.12 |
| UPMC Williamsport | Williamsport | $134.40 | $84.67 – $350.55 |