Flow cytometry marker each additional at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$325.80
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.
$543.00
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.
$4.19 with UPMC Health Plan vs $434.40 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 | $4.19 | ↓ -99% |
| UPMC Health Plan | CHIP | $15.23 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $18.26 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $20.09 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $21.00 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $25.38 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.08 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.51 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $31.12 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $41.76 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $42.84 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $74.47 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $99.74 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $123.99 | ↓ -62% |
| Aetna | Medicare | $135.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $166.06 | ↓ -49% |
| United Healthcare | Compass Exchange | $179.19 | ↓ -45% |
| Aetna | Neighborhood Network | $190.59 | ↓ -42% |
| Highmark BCBS of PA | UPMC Emergent | $199.47 | ↓ -39% |
| Aetna | EBR FI | $206.34 | ↓ -37% |
| Aetna | Home Depot Employer Group | $207.43 | ↓ -36% |
| Cigna | NBR ASO/FI | $211.77 | ↓ -35% |
| United Healthcare | All Business | $211.77 | ↓ -35% |
| Aetna | NBR ASO/FI | $211.77 | ↓ -35% |
| Cigna | New Business ASO | $211.77 | ↓ -35% |
| Cigna | EBR | $217.20 | ↓ -33% |
| Cigna | Commercial | $217.20 | ↓ -33% |
| Aetna | EBR ASO | $217.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $271.50 | ↓ -17% |
| InterGroup | PPO | $271.50 | ↓ -17% |
| Coventry/First Health | Commercial | $380.10 | ↑ +17% |
| Private Health Care Systems | PPO | $434.40 | ↑ +33% |
Visitor-reported prices
Comments
Flow cytometry marker each additional at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $129.00 | $15.23 – $164.00 |
| UPMC Bedford | Everett | $91.20 | $4.25 – $136.80 |
| UPMC Carlisle | Carlisle | $175.20 | $15.23 – $124.10 |
| UPMC Community Osteopathic | Harrisburg | $175.20 | $15.23 – $169.65 |
| UPMC Hamot | Erie | $132.00 | $7.61 – $42.44 |
| UPMC Northwest | Seneca | $141.00 | $4.23 – $110.14 |
| UPMC Hanover | Hanover | $175.20 | $15.23 – $58.16 |
| UPMC Horizon-Greenville | Greenville | $150.60 | $4.24 – $68.62 |