healthcosts.net
Warde 3016300 saccharomyces cerevisiae iga antibody at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$1,294.80
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.
$2,158.00
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.
$10.58 with UPMC Health Plan vs $1,052.30 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 | $10.58 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $12.11 | ↓ -99% |
| Aetna of PA | Medicare | $12.86 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.23 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13.23 | ↓ -99% |
| Aetna | Medicare | $13.47 | ↓ -99% |
| UPMC Health Plan | Commercial | $26.11 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $35.37 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $61.49 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $82.35 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $102.38 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Indemnity | $137.11 | ↓ -89% |
| Highmark BCBS of PA | UPMC Emergent | $164.70 | ↓ -87% |
| Aetna | Neighborhood Network | $311.98 | ↓ -76% |
| Aetna | Home Depot Employer Group | $339.21 | ↓ -74% |
| Aetna | NBR ASO/FI | $346.64 | ↓ -73% |
| Cigna | New Business ASO | $346.64 | ↓ -73% |
| Aetna | EBR FI | $470.44 | ↓ -64% |
| Aetna | EBR ASO | $495.20 | ↓ -62% |
| Cigna | Commercial | $495.20 | ↓ -62% |
| PA Health & Wellness | PA Medicaid HMO | $680.90 | ↓ -47% |
| Coventry/First Health | Commercial | $866.60 | ↓ -33% |
| Private Health Care Systems | PPO | $990.40 | ↓ -24% |
| SelectCare | Commercial | $990.40 | ↓ -24% |
| Humana | Commercial | $1,052.30 | ↓ -19% |
Visitor-reported prices
Comments
Warde 3016300 saccharomyces cerevisiae iga antibody at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $137.40 | $11.38 – $194.65 |
| UPMC Mercy | Pittsburgh | $111.60 | $10.21 – $167.40 |
| UPMC Presbyterian | Pittsburgh | $593.40 | $8.96 – $840.65 |
| UPMC Muncy | Muncy | $100.80 | $9.56 – $134.40 |
| UPMC Northwest | Seneca | $111.60 | $11.11 – $158.10 |
| UPMC Somerset | Somerset | $68.40 | $8.59 – $85.50 |
| UPMC Wellsboro | Wellsboro | $121.60 | $9.56 – $136.80 |
| UPMC Williamsport | Williamsport | $100.80 | $9.56 – $134.40 |