Chromosome analysis 5 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,143.20
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.
$3,572.00
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.
$244.24 with Health Partners Plans (Jefferson Health Plan) vs $2,857.60 with Private Health Care Systems — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $244.24 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $261.25 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $265.05 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $268.66 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $270.05 | ↓ -87% |
| United Healthcare | Unison Advantage Non Special Needs | $277.56 | ↓ -87% |
| Aetna of PA | Medicare | $277.56 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $280.88 | ↓ -87% |
| United Healthcare | Medicare | $282.84 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $285.46 | ↓ -87% |
| Cigna | Medicare | $285.49 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $285.49 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $285.49 | ↓ -87% |
| United Healthcare | Unison Advantage Special Needs | $290.77 | ↓ -86% |
| Aetna | Medicare | $290.77 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $339.47 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $362.21 | ↓ -83% |
| UPMC Health Plan | Commercial | $376.02 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $381.28 | ↓ -82% |
| PA Health & Wellness | PA Medicaid HMO | $416.23 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $484.96 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $843.03 | ↓ -61% |
| Highmark BCBS of PA | Managed Care | $1,129.05 | ↓ -47% |
| United Healthcare | Compass Exchange | $1,178.76 | ↓ -45% |
| Aetna | Neighborhood Network | $1,253.77 | ↓ -42% |
| Aetna | EBR FI | $1,357.36 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,364.50 | ↓ -36% |
| UPMC Health Plan | CHIP | $1,366.90 | ↓ -36% |
| Cigna | New Business ASO | $1,393.08 | ↓ -35% |
| United Healthcare | All Business | $1,393.08 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,393.08 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,393.08 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,403.64 | ↓ -35% |
| Cigna | EBR | $1,428.80 | ↓ -33% |
| Aetna | EBR ASO | $1,428.80 | ↓ -33% |
| Cigna | Commercial | $1,428.80 | ↓ -33% |
| InterGroup | PPO | $1,786.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,879.87 | ↓ -12% |
| Highmark BCBS of PA | UPMC Emergent | $2,258.09 | ↑ +5% |
| Coventry/First Health | Commercial | $2,500.40 | ↑ +17% |
| Private Health Care Systems | PPO | $2,857.60 | ↑ +33% |
Visitor-reported prices
Comments
Chromosome analysis 5 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $848.40 | $244.24 – $1,131.20 |
| UPMC Hamot | Erie | $3,040.20 | $242.93 – $480.39 |
| UPMC Northwest | Seneca | $2,955.60 | $239.73 – $285.49 |
| UPMC Horizon-Greenville | Greenville | $1,782.00 | $236.66 – $496.03 |
| UPMC Jameson | New Castle | $1,048.80 | $246.93 – $488.87 |
| UPMC Kane | Kane | $1,742.40 | $242.93 – $1,140.89 |
| UPMC Magee | Pittsburgh | $1,178.40 | $247.40 – $484.96 |
| UPMC McKeesport | Mckeesport | $2,099.40 | $245.02 – $484.96 |