healthcosts.net
Blood Count (CBC) Test (without differential) at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$56.40
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.
?
What you pay up front if you don't use insurance.
$94.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.59 with UPMC Health Plan vs $79.90 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Managed Medicare | $5.59 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $6.39 | ↓ -89% |
| Aetna of PA | Medicare | $6.79 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $6.99 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6.99 | ↓ -88% |
| Aetna | Medicare | $7.12 | ↓ -87% |
| UPMC Health Plan | Commercial | $7.32 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $8.27 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $8.27 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.15 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.74 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $12.63 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $12.82 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $21.95 | ↓ -61% |
| Aetna | Neighborhood Network | $23.69 | ↓ -58% |
| Aetna | Home Depot Employer Group | $25.76 | ↓ -54% |
| Aetna | NBR ASO/FI | $26.32 | ↓ -53% |
| Cigna | New Business ASO | $26.32 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $29.40 | ↓ -48% |
| Aetna | EBR FI | $35.72 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $36.55 | ↓ -35% |
| Aetna | EBR ASO | $37.60 | ↓ -33% |
| Cigna | Commercial | $37.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $48.95 | ↓ -13% |
| Highmark BCBS of PA | UPMC Emergent | $58.80 | ↑ +4% |
| Coventry/First Health | Commercial | $65.80 | ↑ +17% |
| Private Health Care Systems | PPO | $75.20 | ↑ +33% |
| SelectCare | Commercial | $75.20 | ↑ +33% |
| Humana | Commercial | $79.90 | ↑ +42% |
Visitor-reported prices
Comments
Blood Count (CBC) Test (without differential) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $147.00 | $6.01 – $208.25 |
| UPMC Magee | Pittsburgh | $45.00 | $6.06 – $69.00 |
| UPMC Mercy | Pittsburgh | $76.20 | $5.39 – $114.30 |
| UPMC Presbyterian | Pittsburgh | $210.00 | $6.39 – $297.50 |
| UPMC East | Monroeville | $96.60 | $6.39 – $128.80 |
| UPMC Hamot | Erie | $154.80 | $6.39 – $180.60 |
| UPMC Carlisle | Carlisle | $32.40 | $6.41 – $45.90 |
| UPMC Altoona | Altoona | $65.40 | $6.39 – $87.20 |