#creutz-prot.,western blot at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$379.20
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.
?
What you pay up front if you don't use insurance.
$632.00
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.
$24.55 with Health Partners Plans (Jefferson Health Plan) vs $476.80 with Private Health Care Systems — 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 | $24.55 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $27.00 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $28.23 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $28.87 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $29.29 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $29.84 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $30.67 | ↓ -92% |
| Aetna of PA | Medicare | $30.67 | ↓ -92% |
| United Healthcare | Medicare | $31.25 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $31.54 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.55 | ↓ -92% |
| Cigna | Medicare | $31.55 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $31.55 | ↓ -92% |
| Aetna | Medicare | $32.13 | ↓ -92% |
| United Healthcare | Unison Advantage Special Needs | $32.13 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $34.12 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $36.41 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $38.33 | ↓ -90% |
| UPMC Health Plan | Commercial | $41.50 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $41.84 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $49.39 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $85.86 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $114.98 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $142.95 | ↓ -62% |
| UPMC Health Plan | CHIP | $150.86 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity | $191.45 | ↓ -50% |
| United Healthcare | Compass Exchange | $196.68 | ↓ -48% |
| Aetna | Neighborhood Network | $209.20 | ↓ -45% |
| Aetna | EBR FI | $226.48 | ↓ -40% |
| Aetna | Home Depot Employer Group | $227.67 | ↓ -40% |
| Highmark BCBS of PA | UPMC Emergent | $229.97 | ↓ -39% |
| Cigna | NBR ASO/FI | $232.44 | ↓ -39% |
| Aetna | NBR ASO/FI | $232.44 | ↓ -39% |
| United Healthcare | All Business | $232.44 | ↓ -39% |
| Cigna | New Business ASO | $232.44 | ↓ -39% |
| Cigna | EBR | $238.40 | ↓ -37% |
| Cigna | Commercial | $238.40 | ↓ -37% |
| Aetna | EBR ASO | $238.40 | ↓ -37% |
| InterGroup | PPO | $298.00 | ↓ -21% |
| Coventry/First Health | Commercial | $417.20 | ↑ +10% |
| Private Health Care Systems | PPO | $476.80 | ↑ +26% |
Visitor-reported prices
Comments
#creutz-prot.,western blot at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $192.00 | $24.55 – $244.00 |
| UPMC Bedford | Everett | $108.60 | $10.54 – $162.90 |
| UPMC Carlisle | Carlisle | $147.60 | $24.55 – $209.10 |
| UPMC Community Osteopathic | Harrisburg | $147.60 | $24.55 – $209.10 |
| UPMC Hamot | Erie | $307.20 | $24.55 – $48.92 |
| UPMC Northwest | Seneca | $166.20 | $26.49 – $31.55 |
| UPMC Hanover | Hanover | $147.60 | $24.55 – $46.74 |
| UPMC Horizon-Greenville | Greenville | $400.20 | $24.55 – $54.81 |