Fetal aneuploidy trisom risk at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,112.60
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.
$3,521.00
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.
$592.00 with Highmark BCBS of PA vs $2,816.80 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $592.00 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $636.00 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $699.60 | ↓ -67% |
| United Healthcare Community Plan for Families | Unison Kids | $731.40 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $785.71 | ↓ -63% |
| UPMC Health Plan | Managed Medicare | $797.15 | ↓ -62% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $812.17 | ↓ -62% |
| United Healthcare | Unison Advantage Non Special Needs | $834.75 | ↓ -60% |
| Aetna of PA | Medicare | $834.75 | ↓ -60% |
| United Healthcare | Medicare | $850.65 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $858.52 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $858.60 | ↓ -59% |
| Cigna | Medicare | $858.60 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $858.60 | ↓ -59% |
| Aetna | Medicare | $874.50 | ↓ -59% |
| United Healthcare | Unison Advantage Special Needs | $874.50 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $883.98 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $943.19 | ↓ -55% |
| UPMC Health Plan | Commercial | $984.44 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $992.86 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,029.10 | ↓ -51% |
| PA Health & Wellness | PA Medicaid HMO | $1,083.87 | ↓ -49% |
| United Healthcare | Compass Exchange | $1,161.93 | ↓ -45% |
| Aetna | Neighborhood Network | $1,235.87 | ↓ -42% |
| Aetna | EBR FI | $1,337.98 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,345.02 | ↓ -36% |
| United Healthcare | All Business | $1,373.19 | ↓ -35% |
| Cigna | New Business ASO | $1,373.19 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,373.19 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,373.19 | ↓ -35% |
| Highmark BCBS of PA | Managed Care | $1,378.24 | ↓ -35% |
| Aetna | EBR ASO | $1,408.40 | ↓ -33% |
| Cigna | Commercial | $1,408.40 | ↓ -33% |
| Cigna | EBR | $1,408.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,713.43 | ↓ -19% |
| InterGroup | PPO | $1,760.50 | ↓ -17% |
| UPMC Health Plan | CHIP | $2,111.48 | ↓ -0% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,294.77 | ↑ +9% |
| Coventry/First Health | Commercial | $2,464.70 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $2,756.47 | ↑ +30% |
| Private Health Care Systems | PPO | $2,816.80 | ↑ +33% |
Visitor-reported prices
Comments
Fetal aneuploidy trisom risk at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,092.80 | $586.41 – $2,790.40 |
| UPMC Bedford | Everett | $2,112.60 | $286.84 – $3,168.90 |
| UPMC Hamot | Erie | $2,112.60 | $586.41 – $883.98 |
| UPMC Northwest | Seneca | $2,112.60 | $699.60 – $858.60 |
| UPMC Horizon-Greenville | Greenville | $2,112.60 | $636.00 – $948.21 |
| UPMC Jameson | New Castle | $2,112.60 | $596.76 – $858.60 |
| UPMC Magee | Pittsburgh | $2,239.80 | $592.00 – $1,083.87 |
| UPMC McKeesport | Mckeesport | $2,112.60 | $592.00 – $874.50 |