healthcosts.net
Mayo infectious agent nucleic acid amplified probe enterovirus at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$428.40
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.
$714.00
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.
$29.25 with UPMC Health Plan vs $642.60 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 | $29.25 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $34.68 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $35.09 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $36.01 | ↓ -92% |
| Aetna of PA | Medicare | $36.84 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $37.90 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $37.90 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $37.90 | ↓ -91% |
| Aetna | Medicare | $38.60 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $43.15 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $45.11 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $58.18 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $62.08 | ↓ -86% |
| UPMC Health Plan | Commercial | $65.23 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $66.86 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $91.16 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $137.67 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $184.35 | ↓ -57% |
| Aetna | Neighborhood Network | $199.21 | ↓ -53% |
| Aetna | Home Depot Employer Group | $217.41 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $217.59 | ↓ -49% |
| Aetna | NBR ASO/FI | $221.34 | ↓ -48% |
| UPMC Health Plan | CHIP | $236.43 | ↓ -45% |
| Cigna | New Business ASO | $242.76 | ↓ -43% |
| Bravo | Medicare | $249.90 | ↓ -42% |
| Aetna | EBR FI | $271.32 | ↓ -37% |
| Cigna | Commercial | $285.60 | ↓ -33% |
| Aetna | EBR ASO | $285.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $291.41 | ↓ -32% |
| Coventry/First Health | Commercial | $314.16 | ↓ -27% |
| InterGroup | PPO | $357.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $428.40 | ↑ +0% |
| Private Health Care Systems | PPO | $535.50 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $571.20 | ↑ +33% |
| American Healthcare Group | Commercial | $571.20 | ↑ +33% |
| National Provider Network | PPO | $585.48 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $642.60 | ↑ +50% |
| Health Payors Organization | Commercial | $642.60 | ↑ +50% |
Visitor-reported prices
Comments
Mayo infectious agent nucleic acid amplified probe enterovirus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $345.00 | $32.61 – $488.75 |
| UPMC Presbyterian | Pittsburgh | $962.40 | $34.68 – $1,363.40 |
| UPMC St. Margaret | Pittsburgh | $357.00 | $30.30 – $505.75 |
| UPMC Muncy | Muncy | $693.60 | $34.68 – $924.80 |
| UPMC Northwest | Seneca | $309.60 | $31.82 – $438.60 |
| UPMC Somerset | Somerset | $195.60 | $34.68 – $244.50 |
| UPMC Wellsboro | Wellsboro | $693.60 | $34.68 – $1,040.40 |
| UPMC Williamsport | Williamsport | $660.60 | $34.68 – $880.80 |