Genetic tstg severe inh cond at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$4,156.20
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.
$6,927.00
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.
$1,509.63 with Highmark BCBS of PA vs $11,446.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,509.63 | ↓ -64% |
| United Healthcare | Compass Exchange | $2,056.89 | ↓ -51% |
| Aetna | Neighborhood Network | $2,187.78 | ↓ -47% |
| Aetna | EBR FI | $2,368.54 | ↓ -43% |
| Aetna | Home Depot Employer Group | $2,381.01 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $2,419.96 | ↓ -42% |
| Aetna | NBR ASO/FI | $2,430.87 | ↓ -42% |
| United Healthcare | All Business | $2,430.87 | ↓ -42% |
| Cigna | NBR ASO/FI | $2,430.87 | ↓ -42% |
| Cigna | New Business ASO | $2,430.87 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $2,455.17 | ↓ -41% |
| Aetna | EBR ASO | $2,493.20 | ↓ -40% |
| Cigna | Commercial | $2,493.20 | ↓ -40% |
| Cigna | EBR | $2,493.20 | ↓ -40% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,501.45 | ↓ -40% |
| Aetna of PA | Medicare | $2,570.99 | ↓ -38% |
| United Healthcare | Unison Advantage Non Special Needs | $2,570.99 | ↓ -38% |
| United Healthcare | Medicare | $2,619.96 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,624.25 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,644.20 | ↓ -36% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,644.44 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $2,644.44 | ↓ -36% |
| Cigna | Medicare | $2,644.44 | ↓ -36% |
| Aetna | Medicare | $2,693.42 | ↓ -35% |
| United Healthcare | Unison Advantage Special Needs | $2,693.42 | ↓ -35% |
| InterGroup | PPO | $3,116.50 | ↓ -25% |
| PA Health & Wellness | PA Medicaid HMO | $3,428.15 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $3,428.15 | ↓ -18% |
| Highmark BCBS of PA | Managed Care | $3,514.58 | ↓ -15% |
| Coventry/First Health | Commercial | $4,363.10 | ↑ +5% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,369.35 | ↑ +5% |
| Private Health Care Systems | PPO | $4,986.40 | ↑ +20% |
| UPMC Health Plan | Commercial | $5,336.68 | ↑ +28% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,851.78 | ↑ +41% |
| Highmark BCBS of PA | UPMC Emergent | $7,029.15 | ↑ +69% |
| UPMC Health Plan | CHIP | $11,446.40 | ↑ +175% |
Visitor-reported prices
Comments
Genetic tstg severe inh cond at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,117.20 | $1,127.00 – $2,644.44 |
| UPMC Bedford | Everett | $3,739.80 | $883.44 – $5,609.70 |
| UPMC Hamot | Erie | $14,904.00 | $1,495.39 – $2,644.44 |
| UPMC Northwest | Seneca | $14,904.00 | $2,220.60 – $2,644.44 |
| UPMC Horizon-Greenville | Greenville | $11,694.00 | $2,192.20 – $2,644.44 |
| UPMC Jameson | New Castle | $4,156.20 | $1,521.77 – $2,644.44 |
| UPMC Magee | Pittsburgh | $17,123.40 | $1,509.63 – $2,693.42 |
| UPMC McKeesport | Mckeesport | $4,156.20 | $1,509.63 – $2,693.42 |