healthcosts.net
Mlh1 gene at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,123.80
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.
$1,873.00
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.
$94.75 with Aetna vs $572.40 with UPMC Health Plan — 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 | $94.75 | ↓ -92% |
| Aetna | Home Depot Employer Group | $103.02 | ↓ -91% |
| Aetna | NBR ASO/FI | $105.28 | ↓ -91% |
| Cigna | New Business ASO | $105.28 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $112.63 | ↓ -90% |
| Aetna | EBR FI | $142.88 | ↓ -87% |
| Aetna | EBR ASO | $150.40 | ↓ -87% |
| Cigna | Commercial | $150.40 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $166.05 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $190.07 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $195.79 | ↓ -83% |
| Aetna of PA | Medicare | $201.94 | ↓ -82% |
| PA Health & Wellness | PA Medicaid HMO | $206.80 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $207.69 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $207.71 | ↓ -82% |
| Aetna | Medicare | $211.55 | ↓ -81% |
| Highmark BCBS of PA | Managed Care | $262.21 | ↓ -77% |
| Coventry/First Health | Commercial | $263.20 | ↓ -77% |
| Private Health Care Systems | PPO | $300.80 | ↓ -73% |
| SelectCare | Commercial | $300.80 | ↓ -73% |
| Humana | Commercial | $319.60 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $325.98 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Indemnity | $436.58 | ↓ -61% |
| Highmark BCBS of PA | UPMC Emergent | $524.42 | ↓ -53% |
| UPMC Health Plan | Commercial | $572.40 | ↓ -49% |
Visitor-reported prices
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Mlh1 gene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,191.60 | $112.63 – $1,688.10 |
| UPMC Mercy | Pittsburgh | $1,123.80 | $19.53 – $207.71 |
| UPMC Presbyterian | Pittsburgh | $1,624.80 | $112.63 – $1,592.05 |
| UPMC Muncy | Muncy | $952.80 | $150.17 – $1,176.00 |
| UPMC Northwest | Seneca | $1,123.80 | $174.42 – $1,592.05 |
| UPMC Wellsboro | Wellsboro | $1,619.20 | $150.17 – $1,260.00 |
| UPMC Williamsport | Williamsport | $1,549.80 | $150.17 – $1,400.00 |