Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,408.80
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.
?
What you pay up front if you don't use insurance.
$2,348.00
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.
$374.29 with Highmark BCBS of PA vs $2,479.29 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $374.29 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $411.91 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $417.91 | ↓ -70% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $425.78 | ↓ -70% |
| Aetna of PA | Medicare | $437.62 | ↓ -69% |
| United Healthcare | Unison Advantage Non Special Needs | $437.62 | ↓ -69% |
| United Healthcare | Medicare | $445.95 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $450.08 | ↓ -68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $450.12 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $450.12 | ↓ -68% |
| Cigna | Medicare | $450.12 | ↓ -68% |
| Aetna | Medicare | $458.46 | ↓ -67% |
| United Healthcare | Unison Advantage Special Needs | $458.46 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $650.64 | ↓ -54% |
| United Healthcare | Compass Exchange | $774.84 | ↓ -45% |
| Aetna | Neighborhood Network | $824.15 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $871.38 | ↓ -38% |
| Aetna | EBR FI | $892.24 | ↓ -37% |
| Aetna | Home Depot Employer Group | $896.94 | ↓ -36% |
| United Healthcare | All Business | $915.72 | ↓ -35% |
| Cigna | NBR ASO/FI | $915.72 | ↓ -35% |
| Cigna | New Business ASO | $915.72 | ↓ -35% |
| Aetna | NBR ASO/FI | $915.72 | ↓ -35% |
| Cigna | EBR | $939.20 | ↓ -33% |
| Aetna | EBR ASO | $939.20 | ↓ -33% |
| Cigna | Commercial | $939.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,083.31 | ↓ -23% |
| UPMC Health Plan | Commercial | $1,155.92 | ↓ -18% |
| InterGroup | PPO | $1,174.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $1,291.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,291.40 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,450.85 | ↑ +3% |
| Coventry/First Health | Commercial | $1,643.60 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,742.76 | ↑ +24% |
| Private Health Care Systems | PPO | $1,878.40 | ↑ +33% |
| UPMC Health Plan | CHIP | $2,479.29 | ↑ +76% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,824.00 | $370.76 – $2,432.00 |
| UPMC Bedford | Everett | $2,193.00 | $150.37 – $3,289.50 |
| UPMC Carlisle | Carlisle | $3,829.20 | $66.89 – $5,424.70 |
| UPMC Community Osteopathic | Harrisburg | $3,829.20 | $333.05 – $5,424.70 |
| UPMC Hamot | Erie | $1,920.60 | $370.76 – $450.12 |
| UPMC Northwest | Seneca | $2,298.60 | $377.98 – $450.12 |
| UPMC Hanover | Hanover | $3,829.20 | $66.89 – $2,479.29 |
| UPMC Horizon-Greenville | Greenville | $1,402.80 | $373.14 – $599.50 |