healthcosts.net
Mayo molecular pathology procedure level 2 apoe genotype at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$4,014.60
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.
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What you pay up front if you don't use insurance.
$6,691.00
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.
$104.96 with UPMC Health Plan vs $1,889.55 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 | Commercial | $104.96 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $118.29 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $135.40 | ↓ -97% |
| Aetna of PA | Medicare | $143.85 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $147.95 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $147.96 | ↓ -96% |
| Aetna | Medicare | $150.70 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $244.30 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $424.68 | ↓ -89% |
| Aetna | Neighborhood Network | $560.20 | ↓ -86% |
| Highmark BCBS of PA | Managed Care | $568.76 | ↓ -86% |
| Aetna | Home Depot Employer Group | $609.10 | ↓ -85% |
| Aetna | NBR ASO/FI | $622.44 | ↓ -84% |
| Cigna | New Business ASO | $622.44 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $707.09 | ↓ -82% |
| Aetna | EBR FI | $844.74 | ↓ -79% |
| Aetna | EBR ASO | $889.20 | ↓ -78% |
| Cigna | Commercial | $889.20 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Indemnity | $946.99 | ↓ -76% |
| Highmark BCBS of PA | UPMC Emergent | $1,137.52 | ↓ -72% |
| PA Health & Wellness | PA Medicaid HMO | $1,222.65 | ↓ -70% |
| Coventry/First Health | Commercial | $1,556.10 | ↓ -61% |
| Private Health Care Systems | PPO | $1,778.40 | ↓ -56% |
| SelectCare | Commercial | $1,778.40 | ↓ -56% |
| Humana | Commercial | $1,889.55 | ↓ -53% |
Visitor-reported prices
Comments
Mayo molecular pathology procedure level 2 apoe genotype at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,014.60 | $104.70 – $431.80 |
| UPMC Mercy | Pittsburgh | $4,014.60 | $104.09 – $484.20 |
| UPMC Presbyterian | Pittsburgh | $5,374.80 | $34.56 – $244.30 |
| UPMC Muncy | Muncy | $1,204.20 | $106.97 – $975.20 |
| UPMC Northwest | Seneca | $4,014.60 | $104.75 – $1,656.65 |
| UPMC Somerset | Somerset | $495.60 | $96.11 – $619.50 |
| UPMC Wellsboro | Wellsboro | $1,528.80 | $106.97 – $1,044.90 |
| UPMC Williamsport | Williamsport | $3,829.20 | $106.97 – $390.40 |