Alpha-fetoprotein amniotic at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$141.00
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.
$235.00
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.
$16.80 with UPMC Work Partners vs $188.00 with Private Health Care Systems — 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 Work Partners | Workers Comp | $16.80 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $17.05 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $17.37 | ↓ -88% |
| Aetna of PA | Medicare | $17.85 | ↓ -87% |
| United Healthcare | Unison Advantage Non Special Needs | $17.85 | ↓ -87% |
| United Healthcare | Medicare | $18.19 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $18.36 | ↓ -87% |
| Cigna | Medicare | $18.36 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $18.36 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.36 | ↓ -87% |
| United Healthcare | Unison Advantage Special Needs | $18.70 | ↓ -87% |
| Aetna | Medicare | $18.70 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $20.00 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $22.00 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison Kids | $23.00 | ↓ -84% |
| UPMC Health Plan | Commercial | $23.14 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $27.80 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.66 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.22 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $32.73 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $34.08 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $56.89 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $76.19 | ↓ -46% |
| United Healthcare | Compass Exchange | $77.55 | ↓ -45% |
| Aetna | Neighborhood Network | $82.48 | ↓ -42% |
| UPMC Health Plan | CHIP | $84.11 | ↓ -40% |
| Aetna | EBR FI | $89.30 | ↓ -37% |
| Aetna | Home Depot Employer Group | $89.77 | ↓ -36% |
| Aetna | NBR ASO/FI | $91.65 | ↓ -35% |
| United Healthcare | All Business | $91.65 | ↓ -35% |
| Cigna | New Business ASO | $91.65 | ↓ -35% |
| Cigna | NBR ASO/FI | $91.65 | ↓ -35% |
| Cigna | Commercial | $94.00 | ↓ -33% |
| Aetna | EBR ASO | $94.00 | ↓ -33% |
| Cigna | EBR | $94.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $94.72 | ↓ -33% |
| InterGroup | PPO | $117.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $126.86 | ↓ -10% |
| Highmark BCBS of PA | UPMC Emergent | $152.38 | ↑ +8% |
| Coventry/First Health | Commercial | $164.50 | ↑ +17% |
| Private Health Care Systems | PPO | $188.00 | ↑ +33% |
Visitor-reported prices
Comments
Alpha-fetoprotein amniotic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $160.20 | $16.80 – $213.60 |
| UPMC Bedford | Everett | $203.40 | $6.13 – $305.10 |
| UPMC Carlisle | Carlisle | $62.40 | $14.25 – $88.40 |
| UPMC Community Osteopathic | Harrisburg | $62.40 | $16.83 – $88.40 |
| UPMC Hamot | Erie | $183.00 | $16.80 – $32.42 |
| UPMC Northwest | Seneca | $193.80 | $15.42 – $23.00 |
| UPMC Hanover | Hanover | $62.40 | $16.83 – $27.24 |
| UPMC Horizon-Greenville | Greenville | $117.60 | $15.22 – $31.90 |