healthcosts.net
Flow cytometry interp 16 or more at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$964.80
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.
$1,608.00
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.
$61.09 with UPMC Health Plan vs $1,447.20 with Multiplan — 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 | Commercial | $61.09 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $97.55 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $101.98 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $131.51 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $140.33 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $151.13 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $206.05 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $215.73 | ↓ -78% |
| UPMC Health Plan | CHIP | $221.42 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $311.18 | ↓ -68% |
| Aetna | Medicare | $402.00 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $416.71 | ↓ -57% |
| Aetna | Neighborhood Network | $448.63 | ↓ -54% |
| Aetna | Home Depot Employer Group | $489.64 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $491.84 | ↓ -49% |
| Aetna | NBR ASO/FI | $498.48 | ↓ -48% |
| Cigna | New Business ASO | $546.72 | ↓ -43% |
| Bravo | Medicare | $562.80 | ↓ -42% |
| Aetna | EBR FI | $611.04 | ↓ -37% |
| Aetna | EBR ASO | $643.20 | ↓ -33% |
| Cigna | Commercial | $643.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $658.69 | ↓ -32% |
| Coventry/First Health | Commercial | $707.52 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $804.00 | ↓ -17% |
| InterGroup | PPO | $804.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $964.80 | ↑ +0% |
| Private Health Care Systems | PPO | $1,206.00 | ↑ +25% |
| American Healthcare Group | Commercial | $1,286.40 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $1,286.40 | ↑ +33% |
| National Provider Network | PPO | $1,318.56 | ↑ +37% |
| Health Payors Organization | Commercial | $1,447.20 | ↑ +50% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,447.20 | ↑ +50% |
Visitor-reported prices
Comments
Flow cytometry interp 16 or more at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $865.80 | $61.45 – $1,156.85 |
| UPMC Presbyterian | Pittsburgh | $1,040.40 | $64.84 – $1,473.90 |
| UPMC St. Margaret | Pittsburgh | $838.80 | $61.60 – $1,188.30 |
| UPMC Muncy | Muncy | $374.40 | $93.60 – $499.20 |
| UPMC Northwest | Seneca | $699.60 | $61.48 – $991.10 |
| UPMC Somerset | Somerset | $208.80 | $97.55 – $261.00 |
| UPMC Wellsboro | Wellsboro | $452.80 | $88.68 – $509.40 |
| UPMC Williamsport | Williamsport | $374.40 | $97.55 – $499.20 |