Brca1&2 gen ful dup/del alys at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,920.00
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.
$3,200.00
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.
$360.19 with Highmark BCBS of PA vs $2,731.12 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $360.19 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $467.38 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $514.12 | ↓ -73% |
| United Healthcare Community Plan for Families | Unison Kids | $537.49 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $577.40 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $585.81 | ↓ -69% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $596.85 | ↓ -69% |
| Aetna of PA | Medicare | $613.44 | ↓ -68% |
| United Healthcare | Unison Advantage Non Special Needs | $613.44 | ↓ -68% |
| United Healthcare | Medicare | $625.13 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $626.14 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $630.91 | ↓ -67% |
| Cigna | Medicare | $630.97 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $630.97 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $630.97 | ↓ -67% |
| Aetna | Medicare | $642.65 | ↓ -67% |
| United Healthcare | Unison Advantage Special Needs | $642.65 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $649.61 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $693.12 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $729.63 | ↓ -62% |
| PA Health & Wellness | PA Medicaid HMO | $796.51 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $838.57 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,042.52 | ↓ -46% |
| United Healthcare | Compass Exchange | $1,056.00 | ↓ -45% |
| Aetna | Neighborhood Network | $1,123.20 | ↓ -42% |
| Aetna | EBR FI | $1,216.00 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,222.40 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,248.00 | ↓ -35% |
| United Healthcare | All Business | $1,248.00 | ↓ -35% |
| Cigna | New Business ASO | $1,248.00 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,248.00 | ↓ -35% |
| UPMC Health Plan | Commercial | $1,273.34 | ↓ -34% |
| Cigna | EBR | $1,280.00 | ↓ -33% |
| Cigna | Commercial | $1,280.00 | ↓ -33% |
| Aetna | EBR ASO | $1,280.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,396.23 | ↓ -27% |
| InterGroup | PPO | $1,600.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,677.14 | ↓ -13% |
| Coventry/First Health | Commercial | $2,240.00 | ↑ +17% |
| Private Health Care Systems | PPO | $2,560.00 | ↑ +33% |
| UPMC Health Plan | CHIP | $2,731.12 | ↑ +42% |
Visitor-reported prices
Comments
Brca1&2 gen ful dup/del alys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,920.00 | $356.80 – $2,560.00 |
| UPMC Bedford | Everett | $2,287.20 | $210.79 – $3,430.80 |
| UPMC Hamot | Erie | $1,920.00 | $356.80 – $649.61 |
| UPMC Northwest | Seneca | $2,287.20 | $514.12 – $630.97 |
| UPMC Horizon-Greenville | Greenville | $2,287.20 | $467.38 – $649.61 |
| UPMC Jameson | New Castle | $2,287.20 | $363.09 – $630.97 |
| UPMC Magee | Pittsburgh | $2,287.20 | $360.19 – $796.51 |
| UPMC McKeesport | Mckeesport | $2,287.20 | $360.19 – $642.65 |