Egfr gene com variants at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$142.20
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.
$237.00
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.
$78.21 with United Healthcare vs $1,377.26 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 |
|---|---|---|---|
| United Healthcare | Compass Exchange | $78.21 | ↓ -45% |
| Aetna | Neighborhood Network | $83.19 | ↓ -41% |
| Aetna | EBR FI | $90.06 | ↓ -37% |
| Aetna | Home Depot Employer Group | $90.53 | ↓ -36% |
| Cigna | NBR ASO/FI | $92.43 | ↓ -35% |
| United Healthcare | All Business | $92.43 | ↓ -35% |
| Aetna | NBR ASO/FI | $92.43 | ↓ -35% |
| Cigna | New Business ASO | $92.43 | ↓ -35% |
| Cigna | Commercial | $94.80 | ↓ -33% |
| Cigna | EBR | $94.80 | ↓ -33% |
| Aetna | EBR ASO | $94.80 | ↓ -33% |
| InterGroup | PPO | $118.50 | ↓ -17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $124.37 | ↓ -13% |
| Coventry/First Health | Commercial | $165.90 | ↑ +17% |
| Private Health Care Systems | PPO | $189.60 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $216.21 | ↑ +52% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $263.34 | ↑ +85% |
| Highmark BCBS of PA | Managed Care | $289.56 | ↑ +104% |
| UPMC Health Plan | Managed Medicaid | $289.67 | ↑ +104% |
| United Healthcare Community Plan for Families | Unison Kids | $302.84 | ↑ +113% |
| UPMC Work Partners | Workers Comp | $320.80 | ↑ +126% |
| UPMC Health Plan | Managed Medicare | $325.46 | ↑ +129% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $331.59 | ↑ +133% |
| Aetna of PA | Medicare | $340.81 | ↑ +140% |
| United Healthcare | Unison Advantage Non Special Needs | $340.81 | ↑ +140% |
| United Healthcare | Medicare | $347.30 | ↑ +144% |
| Highmark Wholecare (prev Gateway) | Medicare | $350.51 | ↑ +146% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $350.55 | ↑ +147% |
| AmeriHealth Caritas | Medicare | $350.55 | ↑ +147% |
| Cigna | Medicare | $350.55 | ↑ +147% |
| United Healthcare | Unison Advantage Special Needs | $357.04 | ↑ +151% |
| Aetna | Medicare | $357.04 | ↑ +151% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $359.98 | ↑ +153% |
| Geisinger | Medicaid/CHIP | $366.02 | ↑ +157% |
| UPMC Health Plan | Commercial | $378.87 | ↑ +166% |
| Highmark Wholecare (prev Gateway) | Medicaid | $390.53 | ↑ +175% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $411.10 | ↑ +189% |
| PA Health & Wellness | PA Medicaid HMO | $448.78 | ↑ +216% |
| Highmark BCBS of PA | Commercial - Indemnity | $482.11 | ↑ +239% |
| Highmark BCBS of PA | UPMC Emergent | $579.11 | ↑ +307% |
| UPMC Health Plan | CHIP | $1,377.26 | ↑ +869% |
Visitor-reported prices
Comments
Egfr gene com variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $128.40 | $107.00 – $350.55 |
| UPMC Carlisle | Carlisle | $1,875.60 | $263.34 – $2,657.10 |
| UPMC Cole | Coudersport | $1,104.60 | $53.00 – $1,472.80 |
| UPMC Community Osteopathic | Harrisburg | $1,875.60 | $263.34 – $2,657.10 |
| UPMC Hamot | Erie | $163.80 | $123.20 – $366.02 |
| UPMC Hanover | Hanover | $1,875.60 | $263.34 – $519.33 |
| UPMC Horizon-Greenville | Greenville | $539.40 | $199.21 – $366.02 |
| UPMC Lititz | Lititz | $1,875.60 | $263.34 – $519.33 |