Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$100.20
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.
$167.00
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.
$12.53 with UPMC Health Plan vs $141.95 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 | $12.53 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $13.67 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $13.82 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $13.82 | ↓ -86% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $14.15 | ↓ -86% |
| Aetna | Medicare | $14.23 | ↓ -86% |
| UPMC Health Plan | Commercial | $14.29 | ↓ -86% |
| Aetna of PA | Medicare | $14.51 | ↓ -86% |
| United Healthcare | Unison Advantage Non Special Needs | $14.51 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.92 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.93 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $14.93 | ↓ -85% |
| United Healthcare | Unison Advantage Special Needs | $15.20 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $41.30 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $50.88 | ↓ -49% |
| Aetna | EBR ASO | $66.80 | ↓ -33% |
| Cigna | Commercial | $66.80 | ↓ -33% |
| PA Health & Wellness | PA Medicaid HMO | $91.85 | ↓ -8% |
| Aetna | EBR FI | $96.86 | ↓ -3% |
| Aetna | Neighborhood Network | $100.20 | ↑ +0% |
| Aetna | Home Depot Employer Group | $103.04 | ↑ +3% |
| Aetna | NBR ASO/FI | $105.21 | ↑ +5% |
| Cigna | New Business ASO | $105.21 | ↑ +5% |
| InterGroup | PPO | $108.55 | ↑ +8% |
| Coventry/First Health | Commercial | $116.90 | ↑ +17% |
| Health Coalition Partners | PPO | $120.24 | ↑ +20% |
| Private Health Care Systems | PPO | $133.60 | ↑ +33% |
| Humana | Commercial | $141.95 | ↑ +42% |
Visitor-reported prices
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Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $88.80 | $13.67 – $118.40 |
| UPMC Bedford | Everett | $41.40 | $4.99 – $62.10 |
| UPMC East | Monroeville | $126.60 | $13.67 – $168.80 |
| UPMC Hanover | Hanover | $36.60 | $11.04 – $51.46 |
| UPMC Horizon-Greenville | Greenville | $60.00 | $12.37 – $25.73 |
| UPMC Jameson | New Castle | $60.00 | $9.69 – $16.19 |
| UPMC Magee | Pittsburgh | $52.20 | $12.93 – $16.06 |
| UPMC McKeesport | Mckeesport | $70.80 | $12.81 – $16.06 |