healthcosts.net
Blood occult feces colorectal neoplasm screening qualitative at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$20.40
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.
$34.00
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.
$1.26 with UPMC Health Plan vs $28.90 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 Health Plan | Commercial | $1.26 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $3.78 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $3.82 | ↓ -81% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $3.82 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $4.33 | ↓ -79% |
| Aetna of PA | Medicare | $4.60 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.73 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.73 | ↓ -77% |
| Aetna | Medicare | $4.82 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4.90 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.15 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.42 | ↓ -73% |
| PA Health & Wellness | PA Medicaid HMO | $5.91 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8.51 | ↓ -58% |
| Aetna | Neighborhood Network | $8.57 | ↓ -58% |
| Aetna | Home Depot Employer Group | $9.32 | ↓ -54% |
| Aetna | NBR ASO/FI | $9.52 | ↓ -53% |
| Cigna | New Business ASO | $9.52 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $11.40 | ↓ -44% |
| Aetna | EBR FI | $12.92 | ↓ -37% |
| Aetna | EBR ASO | $13.60 | ↓ -33% |
| Cigna | Commercial | $13.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $14.18 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $18.98 | ↓ -7% |
| Highmark BCBS of PA | UPMC Emergent | $22.80 | ↑ +12% |
| Coventry/First Health | Commercial | $23.80 | ↑ +17% |
| Private Health Care Systems | PPO | $27.20 | ↑ +33% |
| SelectCare | Commercial | $27.20 | ↑ +33% |
| Humana | Commercial | $28.90 | ↑ +42% |
Visitor-reported prices
Comments
Blood occult feces colorectal neoplasm screening qualitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $25.80 | $1.26 – $28.90 |
| UPMC Mercy | Pittsburgh | $20.40 | $1.25 – $30.60 |
| UPMC Presbyterian | Pittsburgh | $29.40 | $1.33 – $41.65 |
| UPMC Muncy | Muncy | $21.00 | $3.82 – $28.00 |
| UPMC Northwest | Seneca | $20.40 | $1.26 – $28.90 |
| UPMC Somerset | Somerset | $18.00 | $3.13 – $20.25 |
| UPMC Wellsboro | Wellsboro | $27.20 | $3.47 – $30.60 |
| UPMC Williamsport | Williamsport | $20.40 | $1.22 – $4.73 |