healthcosts.net
Cyp2c9 gene com variants at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,870.20
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.
$3,117.00
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.
$135.60 with Highmark BCBS of PA vs $2,216.80 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $135.60 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $150.93 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $172.77 | ↓ -91% |
| Aetna of PA | Medicare | $183.55 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $188.78 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $188.79 | ↓ -90% |
| Aetna | Medicare | $192.29 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $235.71 | ↓ -87% |
| Highmark BCBS of PA | Managed Care | $315.68 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $392.46 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity | $525.61 | ↓ -72% |
| Highmark BCBS of PA | UPMC Emergent | $631.36 | ↓ -66% |
| Aetna | Neighborhood Network | $657.22 | ↓ -65% |
| Aetna | Home Depot Employer Group | $714.59 | ↓ -62% |
| Aetna | NBR ASO/FI | $730.24 | ↓ -61% |
| Cigna | New Business ASO | $730.24 | ↓ -61% |
| Aetna | EBR FI | $991.04 | ↓ -47% |
| Aetna | EBR ASO | $1,043.20 | ↓ -44% |
| Cigna | Commercial | $1,043.20 | ↓ -44% |
| UPMC Health Plan | Commercial | $1,279.22 | ↓ -32% |
| PA Health & Wellness | PA Medicaid HMO | $1,434.40 | ↓ -23% |
| Coventry/First Health | Commercial | $1,825.60 | ↓ -2% |
| Private Health Care Systems | PPO | $2,086.40 | ↑ +12% |
| SelectCare | Commercial | $2,086.40 | ↑ +12% |
| Humana | Commercial | $2,216.80 | ↑ +19% |
Visitor-reported prices
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Cyp2c9 gene com variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,870.20 | $134.32 – $2,347.20 |
| UPMC Presbyterian | Pittsburgh | $1,870.20 | $127.96 – $650.25 |
| UPMC Northwest | Seneca | $1,870.20 | $158.54 – $2,216.80 |
| UPMC Williamsport | Williamsport | $1,852.80 | $136.49 – $2,066.40 |