Infect ag genotype na dna hepatitis b at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,338.60
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.
$2,231.00
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.
$254.45 with UPMC Work Partners vs $1,784.80 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $254.45 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $258.15 | ↓ -81% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $263.01 | ↓ -80% |
| Aetna of PA | Medicare | $270.32 | ↓ -80% |
| United Healthcare | Unison Advantage Non Special Needs | $270.32 | ↓ -80% |
| United Healthcare | Medicare | $275.47 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $278.02 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $278.05 | ↓ -79% |
| Cigna | Medicare | $278.05 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $278.05 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $283.10 | ↓ -79% |
| United Healthcare | Unison Advantage Special Needs | $283.19 | ↓ -79% |
| Aetna | Medicare | $283.19 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $304.61 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $311.41 | ↓ -77% |
| United Healthcare Community Plan for Families | Unison Kids | $325.56 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $393.48 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $419.84 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $441.95 | ↓ -67% |
| PA Health & Wellness | PA Medicaid HMO | $482.46 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $529.52 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $709.17 | ↓ -47% |
| United Healthcare | Compass Exchange | $736.23 | ↓ -45% |
| UPMC Health Plan | CHIP | $780.85 | ↓ -42% |
| Aetna | Neighborhood Network | $783.08 | ↓ -42% |
| Aetna | EBR FI | $847.78 | ↓ -37% |
| Aetna | Home Depot Employer Group | $852.24 | ↓ -36% |
| United Healthcare | All Business | $870.09 | ↓ -35% |
| Aetna | NBR ASO/FI | $870.09 | ↓ -35% |
| Cigna | NBR ASO/FI | $870.09 | ↓ -35% |
| Cigna | New Business ASO | $870.09 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $881.65 | ↓ -34% |
| Aetna | EBR ASO | $892.40 | ↓ -33% |
| Cigna | EBR | $892.40 | ↓ -33% |
| Cigna | Commercial | $892.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $1,094.31 | ↓ -18% |
| InterGroup | PPO | $1,115.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,180.77 | ↓ -12% |
| Highmark BCBS of PA | UPMC Emergent | $1,418.34 | ↑ +6% |
| Coventry/First Health | Commercial | $1,561.70 | ↑ +17% |
| Private Health Care Systems | PPO | $1,784.80 | ↑ +33% |
Visitor-reported prices
Comments
Infect ag genotype na dna hepatitis b at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $450.60 | $254.45 – $600.80 |
| UPMC Hamot | Erie | $837.00 | $254.45 – $393.48 |
| UPMC Horizon-Greenville | Greenville | $618.60 | $230.49 – $483.10 |
| UPMC Magee | Pittsburgh | $552.60 | $240.95 – $482.46 |
| UPMC McKeesport | Mckeesport | $1,004.40 | $238.63 – $311.41 |
| UPMC Mercy | Pittsburgh | $606.60 | $214.61 – $325.56 |
| UPMC Muncy | Muncy | $368.40 | $254.45 – $482.46 |
| UPMC Passavant-McCandless | Pittsburgh | $831.00 | $239.25 – $325.56 |