Complement fixation each at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$83.40
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.
$139.00
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.
$7.00 with Health Partners Plans (Jefferson Health Plan) vs $111.20 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 | $7.00 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $7.70 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $8.05 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $9.73 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $9.89 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $10.04 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $10.23 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.38 | ↓ -88% |
| Aetna of PA | Medicare | $10.51 | ↓ -87% |
| United Healthcare | Unison Advantage Non Special Needs | $10.51 | ↓ -87% |
| United Healthcare | Medicare | $10.71 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $10.81 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $10.81 | ↓ -87% |
| Cigna | Medicare | $10.81 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $10.81 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.93 | ↓ -87% |
| United Healthcare | Unison Advantage Special Needs | $11.01 | ↓ -87% |
| Aetna | Medicare | $11.01 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $11.93 | ↓ -86% |
| UPMC Health Plan | Commercial | $17.08 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $19.52 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $33.92 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $45.43 | ↓ -46% |
| United Healthcare | Compass Exchange | $45.87 | ↓ -45% |
| Aetna | Neighborhood Network | $48.79 | ↓ -41% |
| Aetna | EBR FI | $52.82 | ↓ -37% |
| Aetna | Home Depot Employer Group | $53.10 | ↓ -36% |
| Cigna | New Business ASO | $54.21 | ↓ -35% |
| United Healthcare | All Business | $54.21 | ↓ -35% |
| Cigna | NBR ASO/FI | $54.21 | ↓ -35% |
| Aetna | NBR ASO/FI | $54.21 | ↓ -35% |
| Aetna | EBR ASO | $55.60 | ↓ -33% |
| Cigna | EBR | $55.60 | ↓ -33% |
| Cigna | Commercial | $55.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $56.48 | ↓ -32% |
| UPMC Health Plan | CHIP | $62.10 | ↓ -26% |
| InterGroup | PPO | $69.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $75.65 | ↓ -9% |
| Highmark BCBS of PA | UPMC Emergent | $90.87 | ↑ +9% |
| Coventry/First Health | Commercial | $97.30 | ↑ +17% |
| Private Health Care Systems | PPO | $111.20 | ↑ +33% |
Visitor-reported prices
Comments
Complement fixation each at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $100.20 | $7.00 – $133.60 |
| UPMC Hamot | Erie | $110.40 | $7.00 – $19.33 |
| UPMC Northwest | Seneca | $122.40 | $7.70 – $10.81 |
| UPMC Horizon-Greenville | Greenville | $73.80 | $7.00 – $18.78 |
| UPMC Jameson | New Castle | $73.80 | $7.70 – $19.67 |
| UPMC Magee | Pittsburgh | $78.60 | $7.70 – $19.52 |
| UPMC McKeesport | Mckeesport | $85.80 | $7.70 – $19.52 |
| UPMC Mercy | Pittsburgh | $70.80 | $7.70 – $19.33 |