Chromatography at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$159.00
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.
$265.00
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.
$17.85 with UPMC Work Partners vs $225.34 with Highmark BCBS of PA — 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 | $17.85 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $18.11 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $18.45 | ↓ -88% |
| Aetna of PA | Medicare | $18.96 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $18.96 | ↓ -88% |
| United Healthcare | Medicare | $19.32 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.50 | ↓ -88% |
| Cigna | Medicare | $19.50 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.50 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $19.50 | ↓ -88% |
| Aetna | Medicare | $19.87 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $19.87 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.97 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $21.97 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison Kids | $22.97 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $27.76 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.62 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.18 | ↓ -80% |
| PA Health & Wellness | PA Medicaid HMO | $34.03 | ↓ -79% |
| UPMC Health Plan | Commercial | $40.05 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.39 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $84.13 | ↓ -47% |
| United Healthcare | Compass Exchange | $87.45 | ↓ -45% |
| Aetna | Neighborhood Network | $93.02 | ↓ -41% |
| Aetna | EBR FI | $100.70 | ↓ -37% |
| Aetna | Home Depot Employer Group | $101.23 | ↓ -36% |
| United Healthcare | All Business | $103.35 | ↓ -35% |
| Cigna | New Business ASO | $103.35 | ↓ -35% |
| Aetna | NBR ASO/FI | $103.35 | ↓ -35% |
| Cigna | NBR ASO/FI | $103.35 | ↓ -35% |
| Cigna | EBR | $106.00 | ↓ -33% |
| Aetna | EBR ASO | $106.00 | ↓ -33% |
| Cigna | Commercial | $106.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $112.67 | ↓ -29% |
| InterGroup | PPO | $132.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $140.07 | ↓ -12% |
| UPMC Health Plan | CHIP | $145.60 | ↓ -8% |
| Coventry/First Health | Commercial | $185.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $187.59 | ↑ +18% |
| Private Health Care Systems | PPO | $212.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $225.34 | ↑ +42% |
Visitor-reported prices
Comments
Chromatography at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $169.20 | $17.85 – $225.60 |
| UPMC Bedford | Everett | $108.00 | $6.52 – $162.00 |
| UPMC Hamot | Erie | $213.00 | $17.85 – $47.94 |
| UPMC Northwest | Seneca | $163.80 | $16.38 – $22.97 |
| UPMC Horizon-Greenville | Greenville | $149.40 | $16.17 – $33.89 |
| UPMC Jameson | New Castle | $49.20 | $17.85 – $48.78 |
| UPMC Kane | Kane | $208.20 | $17.85 – $77.95 |
| UPMC Magee | Pittsburgh | $437.40 | $16.90 – $48.39 |