healthcosts.net
Mayo analysis gene calr common variants exon 9 at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$876.00
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.
$1,460.00
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.
$105.02 with UPMC Health Plan vs $726.75 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 | Managed Medicare | $105.02 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $116.89 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $120.21 | ↓ -86% |
| Aetna of PA | Medicare | $127.71 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $131.35 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $131.36 | ↓ -85% |
| Aetna | Medicare | $133.79 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $203.19 | ↓ -77% |
| Aetna | Neighborhood Network | $215.46 | ↓ -75% |
| Aetna | Home Depot Employer Group | $234.27 | ↓ -73% |
| Aetna | NBR ASO/FI | $239.40 | ↓ -73% |
| Cigna | New Business ASO | $239.40 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $272.13 | ↓ -69% |
| Aetna | EBR FI | $324.90 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $338.31 | ↓ -61% |
| Aetna | EBR ASO | $342.00 | ↓ -61% |
| Cigna | Commercial | $342.00 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity | $453.09 | ↓ -48% |
| PA Health & Wellness | PA Medicaid HMO | $470.25 | ↓ -46% |
| UPMC Health Plan | Commercial | $528.48 | ↓ -40% |
| Highmark BCBS of PA | UPMC Emergent | $544.25 | ↓ -38% |
| Coventry/First Health | Commercial | $598.50 | ↓ -32% |
| Private Health Care Systems | PPO | $684.00 | ↓ -22% |
| SelectCare | Commercial | $684.00 | ↓ -22% |
| Humana | Commercial | $726.75 | ↓ -17% |
Visitor-reported prices
Comments
Mayo analysis gene calr common variants exon 9 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,227.60 | $113.03 – $304.30 |
| UPMC Mercy | Pittsburgh | $1,227.60 | $101.39 – $341.10 |
| UPMC Presbyterian | Pittsburgh | $1,227.60 | $68.22 – $617.54 |
| UPMC Muncy | Muncy | $1,052.40 | $94.96 – $907.20 |
| UPMC Northwest | Seneca | $1,227.60 | $110.31 – $726.75 |
| UPMC Wellsboro | Wellsboro | $864.00 | $94.96 – $972.00 |
| UPMC Williamsport | Williamsport | $1,160.40 | $94.96 – $671.20 |