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Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$1,051.20
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.
$1,752.00
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.
$77.11 with UPMC Health Plan vs $1,118.70 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 | Commercial | $77.11 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $136.68 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $160.25 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $162.04 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $163.96 | ↓ -84% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $168.26 | ↓ -84% |
| Aetna of PA | Medicare | $172.16 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $177.08 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $177.08 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $177.08 | ↓ -83% |
| Aetna | Medicare | $180.36 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $242.01 | ↓ -77% |
| UPMC Health Plan | CHIP | $279.50 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $324.08 | ↓ -69% |
| Aetna | Neighborhood Network | $346.80 | ↓ -67% |
| Aetna | Home Depot Employer Group | $378.49 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $382.51 | ↓ -64% |
| Aetna | NBR ASO/FI | $385.33 | ↓ -63% |
| Cigna | New Business ASO | $422.62 | ↓ -60% |
| Bravo | Medicare | $435.05 | ↓ -59% |
| Aetna | EBR FI | $472.34 | ↓ -55% |
| Cigna | Commercial | $497.20 | ↓ -53% |
| Aetna | EBR ASO | $497.20 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $512.28 | ↓ -51% |
| Coventry/First Health | Commercial | $546.92 | ↓ -48% |
| InterGroup | PPO | $621.50 | ↓ -41% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $683.65 | ↓ -35% |
| Cigna Behavioral Health | Commercial | $745.80 | ↓ -29% |
| Private Health Care Systems | PPO | $932.25 | ↓ -11% |
| InterGroup | Approved National Affiliated PPO Business | $994.40 | ↓ -5% |
| American Healthcare Group | Commercial | $994.40 | ↓ -5% |
| National Provider Network | PPO | $1,019.26 | ↓ -3% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,118.70 | ↑ +6% |
| Health Payors Organization | Commercial | $1,118.70 | ↑ +6% |
Visitor-reported prices
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Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,114.20 | $77.57 – $996.20 |
| UPMC Presbyterian | Pittsburgh | $1,051.20 | $81.84 – $1,056.55 |
| UPMC St. Margaret | Pittsburgh | $1,051.20 | $77.75 – $996.20 |
| UPMC Muncy | Muncy | $651.60 | $128.03 – $727.20 |
| UPMC Northwest | Seneca | $1,051.20 | $77.60 – $1,056.55 |
| UPMC Somerset | Somerset | $947.40 | $115.02 – $1,184.25 |
| UPMC Wellsboro | Wellsboro | $788.00 | $128.03 – $779.40 |
| UPMC Williamsport | Williamsport | $718.20 | $128.03 – $584.00 |