healthcosts.net
Genome sequence analysis at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$7,352.40
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.
$12,254.00
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.
$1,331.82 with Aetna vs $13,809.17 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $1,331.82 | ↓ -82% |
| Highmark BCBS of PA | Medicare Advantage | $3,101.93 | ↓ -58% |
| UPMC Health Plan | Commercial | $3,469.39 | ↓ -53% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $3,682.84 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $4,069.45 | ↓ -45% |
| Preferred Healthcare System | PPO | $4,809.35 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $4,972.44 | ↓ -32% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,156.00 | ↓ -30% |
| Coventry/First Health | Commercial | $5,179.30 | ↓ -30% |
| AmeriHealth Caritas | Medicare | $5,433.70 | ↓ -26% |
| Cigna Lifesource | Medicare Transplant | $5,433.70 | ↓ -26% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,433.70 | ↓ -26% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,433.70 | ↓ -26% |
| United Healthcare | Medicare | $5,433.70 | ↓ -26% |
| Aetna | Medicare | $5,534.32 | ↓ -25% |
| Aetna of PA | Medicare | $5,534.32 | ↓ -25% |
| Fidelis | Medicare | $5,549.25 | ↓ -25% |
| InterGroup | InterGroup Services Corporation | $5,549.25 | ↓ -25% |
| Multiplan | Worker's Compensation | $5,781.91 | ↓ -21% |
| Health Coalition Partners | Intergroup | $5,919.20 | ↓ -19% |
| Multiplan | PPO | $5,919.20 | ↓ -19% |
| Private Health Care Systems | PPO | $5,919.20 | ↓ -19% |
| SelectCare | Commercial | $5,919.20 | ↓ -19% |
| Health Payors Organization | Commercial | $6,289.15 | ↓ -14% |
| Humana | Commercial | $6,289.15 | ↓ -14% |
| InterGroup | Approved National Affiliated PPO Business | $6,289.15 | ↓ -14% |
| Highmark BCBS of PA | Managed Care | $6,904.58 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $8,149.49 | ↑ +11% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,914.03 | ↑ +48% |
| Highmark BCBS of PA | UPMC Emergent | $13,809.17 | ↑ +88% |
Visitor-reported prices
Comments
Genome sequence analysis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,439.40 | $2,515.66 – $6,289.15 |
| UPMC Mercy | Pittsburgh | $4,439.40 | $2,064.32 – $6,659.10 |
| UPMC St. Margaret | Pittsburgh | $4,439.40 | $1,864.55 – $6,289.15 |
| UPMC Northwest | Seneca | $4,439.40 | $2,959.60 – $6,289.15 |
| UPMC Wellsboro | Wellsboro | $4,188.00 | $1,256.40 – $6,282.00 |
| UPMC Williamsport | Williamsport | $4,397.40 | $2,770.36 – $5,863.20 |