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Mayo gamma-globin full gene sequencing at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$8,992.20
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.
$14,987.00
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.
$65.25 with Aetna vs $242.86 with Highmark BCBS of PA — 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 | Medicare | $65.25 | ↓ -99% |
| Aetna | Neighborhood Network | $72.82 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $75.97 | ↓ -99% |
| Aetna | Home Depot Employer Group | $79.47 | ↓ -99% |
| Aetna | NBR ASO/FI | $80.91 | ↓ -99% |
| Cigna | New Business ASO | $88.74 | ↓ -99% |
| Bravo | Medicare | $91.35 | ↓ -99% |
| UPMC Health Plan | CHIP | $91.35 | ↓ -99% |
| Aetna | EBR FI | $99.18 | ↓ -99% |
| Aetna | EBR ASO | $104.40 | ↓ -99% |
| Cigna | Commercial | $104.40 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $114.73 | ↓ -99% |
| Coventry/First Health | Commercial | $114.84 | ↓ -99% |
| UPMC Health Plan | Commercial | $117.45 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $130.50 | ↓ -99% |
| InterGroup | PPO | $130.50 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $143.55 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $153.64 | ↓ -98% |
| Cigna Behavioral Health | Commercial | $156.60 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $181.34 | ↓ -98% |
| Private Health Care Systems | PPO | $195.75 | ↓ -98% |
| American Healthcare Group | Commercial | $208.80 | ↓ -98% |
| InterGroup | Approved National Affiliated PPO Business | $208.80 | ↓ -98% |
| National Provider Network | PPO | $214.02 | ↓ -98% |
| Health Payors Organization | Commercial | $234.90 | ↓ -97% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $234.90 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $242.86 | ↓ -97% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Mayo gamma-globin full gene sequencing at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $10,180.80 | $26.75 – $90.95 |
| UPMC Presbyterian | Pittsburgh | $13,573.80 | $4.86 – $76.69 |
| UPMC St. Margaret | Pittsburgh | $8,992.20 | $70.50 – $239.70 |
| UPMC Muncy | Muncy | $7,746.60 | $28.50 – $171.00 |
| UPMC Northwest | Seneca | $8,992.20 | $65.25 – $221.85 |
| UPMC Wellsboro | Wellsboro | $9,836.80 | $39.78 – $198.90 |
| UPMC Williamsport | Williamsport | $8,576.40 | $62.64 – $208.80 |