Igh@ var region somatic mutation analy at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,397.40
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.
?
What you pay up front if you don't use insurance.
$2,329.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$291.08 with UPMC Work Partners vs $1,636.80 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $291.08 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $295.32 | ↓ -79% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $300.88 | ↓ -78% |
| Aetna of PA | Medicare | $309.25 | ↓ -78% |
| United Healthcare | Unison Advantage Non Special Needs | $309.25 | ↓ -78% |
| United Healthcare | Medicare | $315.14 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $318.05 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $318.08 | ↓ -77% |
| Cigna | Medicare | $318.08 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $318.08 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $320.63 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $321.44 | ↓ -77% |
| United Healthcare | Unison Advantage Special Needs | $323.97 | ↓ -77% |
| Aetna | Medicare | $323.97 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $352.69 | ↓ -75% |
| United Healthcare Community Plan for Families | Unison Kids | $368.72 | ↓ -74% |
| UPMC Health Plan | Commercial | $414.81 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $445.64 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $475.49 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $500.54 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $546.42 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $558.78 | ↓ -60% |
| United Healthcare | Compass Exchange | $675.18 | ↓ -52% |
| Aetna | Neighborhood Network | $718.15 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $748.36 | ↓ -46% |
| Aetna | EBR FI | $777.48 | ↓ -44% |
| Aetna | Home Depot Employer Group | $781.57 | ↓ -44% |
| United Healthcare | All Business | $797.94 | ↓ -43% |
| Aetna | NBR ASO/FI | $797.94 | ↓ -43% |
| Cigna | NBR ASO/FI | $797.94 | ↓ -43% |
| Cigna | New Business ASO | $797.94 | ↓ -43% |
| Aetna | EBR ASO | $818.40 | ↓ -41% |
| Cigna | EBR | $818.40 | ↓ -41% |
| Cigna | Commercial | $818.40 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $930.36 | ↓ -33% |
| InterGroup | PPO | $1,023.00 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,246.02 | ↓ -11% |
| Coventry/First Health | Commercial | $1,432.20 | ↑ +2% |
| Highmark BCBS of PA | UPMC Emergent | $1,496.72 | ↑ +7% |
| UPMC Health Plan | CHIP | $1,507.91 | ↑ +8% |
| Private Health Care Systems | PPO | $1,636.80 | ↑ +17% |
Visitor-reported prices
Comments
Igh@ var region somatic mutation analy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,107.80 | $291.08 – $468.00 |
| UPMC Bedford | Everett | $1,476.00 | $106.26 – $1,841.40 |
| UPMC Carlisle | Carlisle | $1,702.80 | $291.57 – $2,412.30 |
| UPMC Cole | Coudersport | $1,366.20 | $53.00 – $1,821.60 |
| UPMC Community Osteopathic | Harrisburg | $1,702.80 | $291.57 – $2,412.30 |
| UPMC Hamot | Erie | $2,251.80 | $291.08 – $445.64 |
| UPMC Northwest | Seneca | $1,416.60 | $267.10 – $368.72 |
| UPMC Hanover | Hanover | $1,702.80 | $291.57 – $471.23 |