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Cyto/molecular report at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$85.80
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.
$143.00
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.
$6.38 with UPMC Health Plan vs $121.55 with InterGroup — 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 | $6.38 | ↓ -93% |
| Highmark BCBS of PA | Medicare Advantage | $10.73 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $12.37 | ↓ -86% |
| Multiplan | Worker's Compensation | $14.38 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $17.84 | ↓ -79% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $23.81 | ↓ -72% |
| Highmark BCBS of PA | Managed Care | $23.89 | ↓ -72% |
| Aetna | CHIP/Medicaid | $25.74 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $28.20 | ↓ -67% |
| Aetna | Medicare | $35.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $37.77 | ↓ -56% |
| Highmark BCBS of PA | UPMC Emergent | $47.78 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $71.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $78.65 | ↓ -8% |
| Preferred Healthcare System | PPO | $92.95 | ↑ +8% |
| Coventry/First Health | Commercial | $100.10 | ↑ +17% |
| Fidelis | Medicare | $107.25 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $107.25 | ↑ +25% |
| Health Coalition Partners | Intergroup | $114.40 | ↑ +33% |
| Multiplan | PPO | $114.40 | ↑ +33% |
| Private Health Care Systems | PPO | $114.40 | ↑ +33% |
| SelectCare | Commercial | $114.40 | ↑ +33% |
| Health Payors Organization | Commercial | $121.55 | ↑ +42% |
| Humana | Commercial | $121.55 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $121.55 | ↑ +42% |
Visitor-reported prices
Comments
Cyto/molecular report at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $39.00 | $6.01 – $58.50 |
| UPMC Passavant-McCandless | Pittsburgh | $76.20 | $6.05 – $101.15 |
| UPMC St. Margaret | Pittsburgh | $41.40 | $6.06 – $58.65 |
| UPMC Muncy | Muncy | $269.40 | $12.37 – $359.20 |
| UPMC Northwest | Seneca | $186.00 | $6.05 – $263.50 |
| UPMC Somerset | Somerset | $57.60 | $10.52 – $72.00 |
| UPMC Wellsboro | Wellsboro | $326.40 | $12.37 – $71.10 |
| UPMC Williamsport | Williamsport | $269.40 | $12.37 – $359.20 |