Enzyme histochemistry at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$797.40
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.
$1,329.00
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.
$78.95 with UPMC Health Plan vs $1,063.20 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $78.95 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $95.40 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $104.09 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $117.05 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $128.75 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison Kids | $134.61 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $162.69 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $173.59 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $180.94 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $182.73 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $199.48 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $242.33 | ↓ -70% |
| UPMC Health Plan | CHIP | $287.00 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $301.27 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity | $403.48 | ↓ -49% |
| United Healthcare | Compass Exchange | $438.57 | ↓ -45% |
| Aetna | Neighborhood Network | $466.48 | ↓ -41% |
| Highmark BCBS of PA | UPMC Emergent | $484.66 | ↓ -39% |
| Aetna | EBR FI | $505.02 | ↓ -37% |
| Aetna | Home Depot Employer Group | $507.68 | ↓ -36% |
| Cigna | NBR ASO/FI | $518.31 | ↓ -35% |
| United Healthcare | All Business | $518.31 | ↓ -35% |
| Aetna | NBR ASO/FI | $518.31 | ↓ -35% |
| Cigna | New Business ASO | $518.31 | ↓ -35% |
| Cigna | EBR | $531.60 | ↓ -33% |
| Cigna | Commercial | $531.60 | ↓ -33% |
| Aetna | EBR ASO | $531.60 | ↓ -33% |
| InterGroup | PPO | $664.50 | ↓ -17% |
| UPMC Health Plan | Managed Medicare | $780.92 | ↓ -2% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $795.64 | ↓ -0% |
| Aetna of PA | Medicare | $817.76 | ↑ +3% |
| United Healthcare | Unison Advantage Non Special Needs | $817.76 | ↑ +3% |
| United Healthcare | Medicare | $833.34 | ↑ +5% |
| Highmark Wholecare (prev Gateway) | Medicare | $841.05 | ↑ +5% |
| AmeriHealth Caritas | Medicare | $841.13 | ↑ +5% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $841.13 | ↑ +5% |
| Cigna | Medicare | $841.13 | ↑ +5% |
| United Healthcare | Unison Advantage Special Needs | $856.70 | ↑ +7% |
| Aetna | Medicare | $856.70 | ↑ +7% |
| Coventry/First Health | Commercial | $930.30 | ↑ +17% |
| Private Health Care Systems | PPO | $1,063.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Enzyme histochemistry at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $471.60 | $7.41 – $628.80 |
| UPMC Carlisle | Carlisle | $1,472.40 | $9.71 – $2,085.90 |
| UPMC Community Osteopathic | Harrisburg | $1,472.40 | $9.71 – $2,085.90 |
| UPMC Hamot | Erie | $652.20 | $23.43 – $970.76 |
| UPMC Northwest | Seneca | $573.60 | $79.68 – $817.76 |
| UPMC Hanover | Hanover | $1,472.40 | $9.71 – $1,248.61 |
| UPMC Horizon-Greenville | Greenville | $456.60 | $79.94 – $841.13 |
| UPMC Jameson | New Castle | $456.60 | $8.52 – $841.05 |