healthcosts.net
Urine Culture Test at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$490.20
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.
$817.00
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.
$7.98 with UPMC Work Partners vs $617.95 with Humana — 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 Work Partners | Workers Comp | $7.98 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.00 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $8.72 | ↓ -98% |
| United Healthcare | Medicare | $8.72 | ↓ -98% |
| Cigna Lifesource | Medicare Transplant | $8.72 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.72 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.72 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $8.80 | ↓ -98% |
| Aetna | Medicare | $8.88 | ↓ -98% |
| Aetna of PA | Medicare | $8.88 | ↓ -98% |
| Multiplan | Worker's Compensation | $9.28 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $9.60 | ↓ -98% |
| Aetna | CHIP/Medicaid | $10.40 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.86 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $12.45 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.66 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13.63 | ↓ -97% |
| UPMC Health Plan | Commercial | $14.48 | ↓ -97% |
| Highmark BCBS of PA | Medicare Advantage | $15.54 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $25.83 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $34.58 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $40.82 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Indemnity | $54.67 | ↓ -89% |
| Highmark BCBS of PA | UPMC Emergent | $69.17 | ↓ -86% |
| Preferred Healthcare System | PPO | $472.55 | ↓ -4% |
| Coventry/First Health | Commercial | $508.90 | ↑ +4% |
| Fidelis | Medicare | $545.25 | ↑ +11% |
| InterGroup | InterGroup Services Corporation | $545.25 | ↑ +11% |
| Health Coalition Partners | Intergroup | $581.60 | ↑ +19% |
| Private Health Care Systems | PPO | $581.60 | ↑ +19% |
| SelectCare | Commercial | $581.60 | ↑ +19% |
| Multiplan | PPO | $581.60 | ↑ +19% |
| InterGroup | Approved National Affiliated PPO Business | $617.95 | ↑ +26% |
| Health Payors Organization | Commercial | $617.95 | ↑ +26% |
| Humana | Commercial | $617.95 | ↑ +26% |
Visitor-reported prices
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Urine Culture Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $255.60 | $7.50 – $342.55 |
| UPMC Magee | Pittsburgh | $108.00 | $7.55 – $156.40 |
| UPMC Mercy | Pittsburgh | $80.40 | $6.73 – $120.60 |
| UPMC St. Margaret | Pittsburgh | $173.40 | $6.97 – $245.65 |
| UPMC East | Monroeville | $118.20 | $7.98 – $157.60 |
| UPMC Hamot | Erie | $62.40 | $7.98 – $72.80 |
| UPMC Carlisle | Carlisle | $45.00 | $7.99 – $63.75 |
| UPMC Altoona | Altoona | $103.20 | $7.98 – $137.60 |