Aqaprn-4 antb flo cytmtry ea at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$22.80
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.
?
What you pay up front if you don't use insurance.
$38.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.16 with Highmark BCBS of PA vs $41.50 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5.16 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8.97 | ↓ -61% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $9.64 | ↓ -58% |
| UPMC Health Plan | Managed Medicaid | $10.60 | ↓ -54% |
| United Healthcare Community Plan for Families | Unison Kids | $11.09 | ↓ -51% |
| Highmark BCBS of PA | Managed Care | $12.01 | ↓ -47% |
| United Healthcare | Compass Exchange | $12.54 | ↓ -45% |
| UPMC Health Plan | CHIP | $13.30 | ↓ -42% |
| Aetna | Neighborhood Network | $13.34 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $13.40 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.30 | ↓ -37% |
| Aetna | EBR FI | $14.44 | ↓ -37% |
| Aetna | Home Depot Employer Group | $14.52 | ↓ -36% |
| Aetna | NBR ASO/FI | $14.82 | ↓ -35% |
| Cigna | NBR ASO/FI | $14.82 | ↓ -35% |
| Cigna | New Business ASO | $14.82 | ↓ -35% |
| United Healthcare | All Business | $14.82 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $14.94 | ↓ -34% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.05 | ↓ -34% |
| Cigna | Commercial | $15.20 | ↓ -33% |
| Aetna | EBR ASO | $15.20 | ↓ -33% |
| Cigna | EBR | $15.20 | ↓ -33% |
| PA Health & Wellness | PA Medicaid HMO | $16.43 | ↓ -28% |
| UPMC Health Plan | Commercial | $18.64 | ↓ -18% |
| InterGroup | PPO | $19.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $20.00 | ↓ -12% |
| Highmark BCBS of PA | UPMC Emergent | $24.03 | ↑ +5% |
| Coventry/First Health | Commercial | $26.60 | ↑ +17% |
| Private Health Care Systems | PPO | $30.40 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $37.28 | ↑ +64% |
| UPMC Health Plan | Managed Medicare | $37.83 | ↑ +66% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $38.54 | ↑ +69% |
| United Healthcare | Unison Advantage Non Special Needs | $39.62 | ↑ +74% |
| Aetna of PA | Medicare | $39.62 | ↑ +74% |
| United Healthcare | Medicare | $40.37 | ↑ +77% |
| Highmark Wholecare (prev Gateway) | Medicare | $40.74 | ↑ +79% |
| AmeriHealth Caritas | Medicare | $40.75 | ↑ +79% |
| Cigna | Medicare | $40.75 | ↑ +79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $40.75 | ↑ +79% |
| Aetna | Medicare | $41.50 | ↑ +82% |
| United Healthcare | Unison Advantage Special Needs | $41.50 | ↑ +82% |
Visitor-reported prices
Comments
Aqaprn-4 antb flo cytmtry ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $28.80 | $5.11 – $40.75 |
| UPMC Horizon-Greenville | Greenville | $18.60 | $8.27 – $40.75 |
| UPMC Jameson | New Castle | $114.60 | $5.20 – $40.75 |
| UPMC Magee | Pittsburgh | $269.40 | $5.16 – $40.75 |
| UPMC Mercy | Pittsburgh | $18.60 | $5.11 – $41.50 |
| UPMC Passavant-McCandless | Pittsburgh | $281.40 | $5.16 – $43.35 |
| UPMC Presbyterian | Pittsburgh | $373.20 | $5.16 – $43.35 |
| Uniontown Hospital | Uniontown | $390.00 | $10.60 – $78.37 |