Hla i low res one antigen equiv ea at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$790.20
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.
$1,317.00
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.
$73.46 with UPMC Work Partners vs $1,053.60 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 Work Partners | Workers Comp | $73.46 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $74.53 | ↓ -91% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $75.94 | ↓ -90% |
| Aetna of PA | Medicare | $78.05 | ↓ -90% |
| United Healthcare | Unison Advantage Non Special Needs | $78.05 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $79.40 | ↓ -90% |
| United Healthcare | Medicare | $79.53 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $80.27 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $80.28 | ↓ -90% |
| Cigna | Medicare | $80.28 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $80.28 | ↓ -90% |
| United Healthcare | Unison Advantage Special Needs | $81.76 | ↓ -90% |
| Aetna | Medicare | $81.76 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $87.34 | ↓ -89% |
| United Healthcare Community Plan for Families | Unison Kids | $91.31 | ↓ -88% |
| UPMC Health Plan | Commercial | $92.28 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $110.36 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $117.75 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $123.95 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $135.31 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $192.87 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $335.27 | ↓ -58% |
| UPMC Health Plan | CHIP | $335.44 | ↓ -58% |
| United Healthcare | Compass Exchange | $434.61 | ↓ -45% |
| Highmark BCBS of PA | Managed Care | $449.01 | ↓ -43% |
| Aetna | Neighborhood Network | $462.27 | ↓ -41% |
| Aetna | EBR FI | $500.46 | ↓ -37% |
| Aetna | Home Depot Employer Group | $503.09 | ↓ -36% |
| Aetna | NBR ASO/FI | $513.63 | ↓ -35% |
| United Healthcare | All Business | $513.63 | ↓ -35% |
| Cigna | New Business ASO | $513.63 | ↓ -35% |
| Cigna | NBR ASO/FI | $513.63 | ↓ -35% |
| Cigna | Commercial | $526.80 | ↓ -33% |
| Aetna | EBR ASO | $526.80 | ↓ -33% |
| Cigna | EBR | $526.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $558.22 | ↓ -29% |
| InterGroup | PPO | $658.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $747.61 | ↓ -5% |
| Highmark BCBS of PA | UPMC Emergent | $898.03 | ↑ +14% |
| Coventry/First Health | Commercial | $921.90 | ↑ +17% |
| Private Health Care Systems | PPO | $1,053.60 | ↑ +33% |
Visitor-reported prices
Comments
Hla i low res one antigen equiv ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,160.40 | $73.46 – $1,006.40 |
| UPMC Bedford | Everett | $837.60 | $26.82 – $1,185.30 |
| UPMC Hamot | Erie | $1,253.40 | $73.46 – $191.05 |
| UPMC Northwest | Seneca | $837.60 | $67.41 – $91.31 |
| UPMC Horizon-Greenville | Greenville | $1,253.40 | $66.55 – $139.48 |
| UPMC Jameson | New Castle | $837.60 | $73.46 – $194.42 |
| UPMC Magee | Pittsburgh | $1,253.40 | $69.57 – $192.87 |
| UPMC McKeesport | Mckeesport | $837.60 | $68.90 – $192.87 |