B-hexosaminidase ea assay at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$216.00
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.
?
What you pay up front if you don't use insurance.
$360.00
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.
$16.67 with UPMC Work Partners vs $288.00 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $16.67 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $16.92 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $17.23 | ↓ -92% |
| Aetna of PA | Medicare | $17.71 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $17.71 | ↓ -92% |
| United Healthcare | Medicare | $18.05 | ↓ -92% |
| Cigna | Medicare | $18.22 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $18.22 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.22 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $18.22 | ↓ -92% |
| United Healthcare | Unison Advantage Special Needs | $18.56 | ↓ -91% |
| Aetna | Medicare | $18.56 | ↓ -91% |
| UPMC Health Plan | Commercial | $38.11 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $45.20 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $78.58 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $105.24 | ↓ -51% |
| United Healthcare | Compass Exchange | $118.80 | ↓ -45% |
| Aetna | Neighborhood Network | $126.36 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $130.84 | ↓ -39% |
| Aetna | EBR FI | $136.80 | ↓ -37% |
| Aetna | Home Depot Employer Group | $137.52 | ↓ -36% |
| UPMC Health Plan | CHIP | $138.54 | ↓ -36% |
| United Healthcare | All Business | $140.40 | ↓ -35% |
| Cigna | New Business ASO | $140.40 | ↓ -35% |
| Aetna | NBR ASO/FI | $140.40 | ↓ -35% |
| Cigna | NBR ASO/FI | $140.40 | ↓ -35% |
| Cigna | Commercial | $144.00 | ↓ -33% |
| Aetna | EBR ASO | $144.00 | ↓ -33% |
| Cigna | EBR | $144.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $175.23 | ↓ -19% |
| InterGroup | PPO | $180.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $198.00 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $198.00 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $210.48 | ↓ -3% |
| Coventry/First Health | Commercial | $252.00 | ↑ +17% |
| Private Health Care Systems | PPO | $288.00 | ↑ +33% |
Visitor-reported prices
Comments
B-hexosaminidase ea assay at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $265.20 | $16.67 – $353.60 |
| UPMC Bedford | Everett | $276.00 | $6.09 – $414.00 |
| UPMC Hamot | Erie | $236.40 | $16.67 – $44.78 |
| UPMC Horizon-Greenville | Greenville | $195.60 | $15.10 – $31.66 |
| UPMC Magee | Pittsburgh | $197.40 | $15.79 – $45.20 |
| UPMC McKeesport | Mckeesport | $190.80 | $15.64 – $45.20 |
| UPMC Mercy | Pittsburgh | $154.80 | $14.06 – $44.78 |
| UPMC Passavant-McCandless | Pittsburgh | $197.40 | $15.68 – $45.20 |