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Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$210.00
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.
$350.00
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.
$88.20 with Aetna vs $1,246.22 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $88.20 | ↓ -58% |
| Aetna | Home Depot Employer Group | $95.90 | ↓ -54% |
| Aetna | NBR ASO/FI | $98.00 | ↓ -53% |
| Cigna | New Business ASO | $98.00 | ↓ -53% |
| UPMC Health Plan | Commercial | $110.88 | ↓ -47% |
| UPMC Health Plan | Managed Medicare | $123.15 | ↓ -41% |
| UPMC Health Plan | Managed Medicaid | $124.15 | ↓ -41% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $124.15 | ↓ -41% |
| Aetna | EBR FI | $133.00 | ↓ -37% |
| Aetna | EBR ASO | $140.00 | ↓ -33% |
| Cigna | Commercial | $140.00 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $140.96 | ↓ -33% |
| Aetna of PA | Medicare | $149.76 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicare | $154.03 | ↓ -27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $154.04 | ↓ -27% |
| Aetna | Medicare | $156.89 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicaid | $167.37 | ↓ -20% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $176.19 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $192.34 | ↓ -8% |
| Coventry/First Health | Commercial | $245.00 | ↑ +17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $267.65 | ↑ +27% |
| Private Health Care Systems | PPO | $280.00 | ↑ +33% |
| SelectCare | Commercial | $280.00 | ↑ +33% |
| Humana | Commercial | $297.50 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $465.26 | ↑ +122% |
| Highmark BCBS of PA | Managed Care | $623.11 | ↑ +197% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $774.65 | ↑ +269% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,037.48 | ↑ +394% |
| Highmark BCBS of PA | UPMC Emergent | $1,246.22 | ↑ +493% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $210.00 | $97.65 – $315.00 |
| UPMC Passavant-McCandless | Pittsburgh | $210.00 | $109.95 – $297.50 |
| UPMC Presbyterian | Pittsburgh | $210.00 | $112.86 – $297.50 |
| UPMC Northwest | Seneca | $210.00 | $124.15 – $297.50 |
| UPMC Somerset | Somerset | $210.00 | $122.15 – $262.50 |
| UPMC Williamsport | Williamsport | $210.00 | $94.50 – $280.00 |