Braf gene at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,392.00
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.
$2,320.00
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.
$143.18 with Health Partners Plans (Jefferson Health Plan) vs $1,496.72 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $143.18 | ↓ -90% |
| UPMC Health Plan | Commercial | $149.10 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $157.50 | ↓ -89% |
| United Healthcare Community Plan for Families | Unison Kids | $164.66 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $173.35 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $175.87 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $179.19 | ↓ -87% |
| United Healthcare | Unison Advantage Non Special Needs | $184.17 | ↓ -87% |
| Aetna of PA | Medicare | $184.17 | ↓ -87% |
| United Healthcare | Medicare | $187.68 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $189.41 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $189.43 | ↓ -86% |
| Cigna | Medicare | $189.43 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $189.43 | ↓ -86% |
| Aetna | Medicare | $192.94 | ↓ -86% |
| United Healthcare | Unison Advantage Special Needs | $192.94 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $199.01 | ↓ -86% |
| United Healthcare | Compass Exchange | $203.28 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $212.34 | ↓ -85% |
| Aetna | Neighborhood Network | $216.22 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $223.52 | ↓ -84% |
| Aetna | EBR FI | $234.08 | ↓ -83% |
| Aetna | Home Depot Employer Group | $235.31 | ↓ -83% |
| Cigna | NBR ASO/FI | $240.24 | ↓ -83% |
| United Healthcare | All Business | $240.24 | ↓ -83% |
| Aetna | NBR ASO/FI | $240.24 | ↓ -83% |
| Cigna | New Business ASO | $240.24 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $244.01 | ↓ -82% |
| Cigna | Commercial | $246.40 | ↓ -82% |
| Aetna | EBR ASO | $246.40 | ↓ -82% |
| Cigna | EBR | $246.40 | ↓ -82% |
| InterGroup | PPO | $308.00 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $321.44 | ↓ -77% |
| Coventry/First Health | Commercial | $431.20 | ↓ -69% |
| Private Health Care Systems | PPO | $492.80 | ↓ -65% |
| UPMC Health Plan | CHIP | $542.02 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $558.78 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $748.36 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $930.36 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,246.02 | ↓ -10% |
| Highmark BCBS of PA | UPMC Emergent | $1,496.72 | ↑ +8% |
Visitor-reported prices
Comments
Braf gene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $333.00 | $143.18 – $318.41 |
| UPMC Bedford | Everett | $1,392.00 | $63.28 – $554.40 |
| UPMC Carlisle | Carlisle | $1,013.40 | $143.18 – $1,435.65 |
| UPMC Cole | Coudersport | $737.40 | $53.00 – $983.20 |
| UPMC Community Osteopathic | Harrisburg | $1,013.40 | $143.18 – $1,435.65 |
| UPMC Hamot | Erie | $1,592.40 | $143.18 – $318.41 |
| UPMC Northwest | Seneca | $1,392.00 | $150.49 – $189.43 |
| UPMC Hanover | Hanover | $1,013.40 | $143.18 – $280.64 |