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Mycobacteria dna amp probe at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$393.00
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.
$655.00
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.
$40.21 with UPMC Health Plan vs $589.50 with Health Payors Organization — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $40.21 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $47.68 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $48.24 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $49.50 | ↓ -87% |
| Aetna of PA | Medicare | $50.65 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $52.10 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $52.10 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $52.10 | ↓ -87% |
| Aetna | Medicare | $53.06 | ↓ -86% |
| UPMC Health Plan | Commercial | $68.34 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $90.15 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $136.15 | ↓ -65% |
| Highmark BCBS of PA | Managed Care | $182.32 | ↓ -54% |
| Aetna | Neighborhood Network | $182.75 | ↓ -53% |
| Aetna | Home Depot Employer Group | $199.45 | ↓ -49% |
| Aetna | NBR ASO/FI | $203.05 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $215.19 | ↓ -45% |
| Cigna | New Business ASO | $222.70 | ↓ -43% |
| Bravo | Medicare | $229.25 | ↓ -42% |
| UPMC Health Plan | CHIP | $247.69 | ↓ -37% |
| Aetna | EBR FI | $248.90 | ↓ -37% |
| Cigna | Commercial | $262.00 | ↓ -33% |
| Aetna | EBR ASO | $262.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $288.20 | ↓ -27% |
| Coventry/First Health | Commercial | $288.20 | ↓ -27% |
| InterGroup | PPO | $327.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $360.25 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $393.00 | ↑ +0% |
| Private Health Care Systems | PPO | $491.25 | ↑ +25% |
| InterGroup | Approved National Affiliated PPO Business | $524.00 | ↑ +33% |
| American Healthcare Group | Commercial | $524.00 | ↑ +33% |
| National Provider Network | PPO | $537.10 | ↑ +37% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $589.50 | ↑ +50% |
| Health Payors Organization | Commercial | $589.50 | ↑ +50% |
Visitor-reported prices
Comments
Mycobacteria dna amp probe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $363.00 | $44.83 – $514.25 |
| UPMC Presbyterian | Pittsburgh | $464.40 | $35.32 – $657.90 |
| UPMC Williamsport | Williamsport | $468.00 | $37.67 – $624.00 |