healthcosts.net
C-reactive protein, quantitative at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$66.60
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.
$111.00
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.
$9.19 with UPMC Health Plan vs $130.19 with Highmark BCBS of PA — 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 | $9.19 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $10.51 | ↓ -84% |
| Aetna of PA | Medicare | $11.17 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.49 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.49 | ↓ -83% |
| Aetna | Medicare | $11.70 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $16.04 | ↓ -76% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $16.04 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.62 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.76 | ↓ -66% |
| UPMC Health Plan | Commercial | $24.63 | ↓ -63% |
| PA Health & Wellness | PA Medicaid HMO | $24.85 | ↓ -63% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $27.96 | ↓ -58% |
| Aetna | Neighborhood Network | $27.97 | ↓ -58% |
| Aetna | Home Depot Employer Group | $30.41 | ↓ -54% |
| Aetna | NBR ASO/FI | $31.08 | ↓ -53% |
| Cigna | New Business ASO | $31.08 | ↓ -53% |
| Aetna | EBR FI | $42.18 | ↓ -37% |
| Aetna | EBR ASO | $44.40 | ↓ -33% |
| Cigna | Commercial | $44.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $48.60 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $65.09 | ↓ -2% |
| Coventry/First Health | Commercial | $77.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $80.92 | ↑ +22% |
| Private Health Care Systems | PPO | $88.80 | ↑ +33% |
| SelectCare | Commercial | $88.80 | ↑ +33% |
| Humana | Commercial | $94.35 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $108.38 | ↑ +63% |
| Highmark BCBS of PA | UPMC Emergent | $130.19 | ↑ +95% |
Visitor-reported prices
Comments
C-reactive protein, quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $99.00 | $9.89 – $140.25 |
| UPMC Mercy | Pittsburgh | $138.00 | $8.87 – $207.00 |
| UPMC Presbyterian | Pittsburgh | $1,420.80 | $10.51 – $2,012.80 |
| UPMC Muncy | Muncy | $441.00 | $10.51 – $588.00 |
| UPMC Wellsboro | Wellsboro | $533.60 | $10.51 – $600.30 |
| UPMC Williamsport | Williamsport | $441.00 | $10.51 – $588.00 |