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Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,493.40
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.
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What you pay up front if you don't use insurance.
$2,489.00
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.
$374.29 with Highmark BCBS of PA vs $1,994.95 with Private Health Care Systems — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $374.29 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $387.31 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $411.91 | ↓ -72% |
| Health Plan of Upper Ohio Valley | Medicaid | $416.78 | ↓ -72% |
| Health Plan of Upper Ohio Valley | Medicare | $416.78 | ↓ -72% |
| Aetna of PA | Medicare | $437.62 | ↓ -71% |
| United Healthcare | Unison Advantage Non Special Needs | $437.62 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $450.08 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $450.12 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $450.12 | ↓ -70% |
| Aetna | Medicare | $458.46 | ↓ -69% |
| United Healthcare | Unison Advantage Special Needs | $458.46 | ↓ -69% |
| Private Health Care Systems | Workers' Comp | $478.97 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $649.98 | ↓ -56% |
| Cigna | New Business ASO | $797.98 | ↓ -47% |
| Highmark BCBS of PA | Managed Care | $870.50 | ↓ -42% |
| Cigna | Commercial | $938.80 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,038.85 | ↓ -30% |
| Health Plan of Upper Ohio Valley | Commercial | $1,084.31 | ↓ -27% |
| UPMC Health Plan | Commercial | $1,158.98 | ↓ -22% |
| PA Health & Wellness | PA Medicaid HMO | $1,290.85 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,391.31 | ↓ -7% |
| Coventry/First Health | Commercial | $1,642.90 | ↑ +10% |
| Highmark BCBS of PA | UPMC Emergent | $1,741.01 | ↑ +17% |
| InterGroup | PPO | $1,948.01 | ↑ +30% |
| Humana | Commercial | $1,994.95 | ↑ +34% |
| Multiplan | PPO (Includes Workers' Comp) | $1,994.95 | ↑ +34% |
| Private Health Care Systems | PPO | $1,994.95 | ↑ +34% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,596.60 | $347.43 – $2,394.90 |
| UPMC Presbyterian | Pittsburgh | $1,797.60 | $305.09 – $2,546.60 |
| UPMC St. Margaret | Pittsburgh | $1,408.80 | $359.85 – $1,995.80 |
| UPMC Muncy | Muncy | $582.60 | $145.65 – $776.80 |
| UPMC Northwest | Seneca | $2,298.60 | $377.98 – $3,256.35 |
| UPMC Somerset | Somerset | $3,829.20 | $292.38 – $4,786.50 |
| UPMC Wellsboro | Wellsboro | $704.80 | $158.58 – $792.90 |
| UPMC Williamsport | Williamsport | $582.60 | $297.13 – $776.80 |