healthcosts.net
Kras gene variants exon 2 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$361.80
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.
$603.00
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.
$131.42 with UPMC Health Plan vs $1,466.83 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $131.42 | ↓ -64% |
| Aetna | Neighborhood Network | $151.96 | ↓ -58% |
| Aetna | Home Depot Employer Group | $165.22 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $166.85 | ↓ -54% |
| Aetna | NBR ASO/FI | $168.84 | ↓ -53% |
| Cigna | New Business ASO | $168.84 | ↓ -53% |
| UPMC Health Plan | Managed Medicaid | $173.78 | ↓ -52% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $173.78 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $190.99 | ↓ -47% |
| Aetna of PA | Medicare | $202.91 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $208.69 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $208.71 | ↓ -42% |
| Aetna | Medicare | $212.57 | ↓ -41% |
| Aetna | EBR FI | $229.14 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicaid | $234.28 | ↓ -35% |
| Aetna | EBR ASO | $241.20 | ↓ -33% |
| Cigna | Commercial | $241.20 | ↓ -33% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $246.62 | ↓ -32% |
| PA Health & Wellness | PA Medicaid HMO | $269.23 | ↓ -26% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $315.03 | ↓ -13% |
| Coventry/First Health | Commercial | $422.10 | ↑ +17% |
| Private Health Care Systems | PPO | $482.40 | ↑ +33% |
| SelectCare | Commercial | $482.40 | ↑ +33% |
| Humana | Commercial | $512.55 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $547.62 | ↑ +51% |
| Highmark BCBS of PA | Managed Care | $733.42 | ↑ +103% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $911.79 | ↑ +152% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,221.14 | ↑ +238% |
| Highmark BCBS of PA | UPMC Emergent | $1,466.83 | ↑ +305% |
Visitor-reported prices
Comments
Kras gene variants exon 2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,353.60 | $131.10 – $544.00 |
| UPMC Mercy | Pittsburgh | $361.80 | $130.34 – $542.70 |
| UPMC Presbyterian | Pittsburgh | $778.20 | $138.33 – $643.45 |
| UPMC Somerset | Somerset | $697.80 | $173.78 – $872.25 |
| UPMC Williamsport | Williamsport | $325.80 | $173.78 – $434.40 |