Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$210.00
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.
$350.00
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.
$109.66 with UPMC Health Plan vs $1,246.22 with Highmark BCBS of PA — 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 Health Plan | Commercial | $109.66 | ↓ -48% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $112.86 | ↓ -46% |
| United Healthcare | Compass Exchange | $115.50 | ↓ -45% |
| Aetna | Neighborhood Network | $122.85 | ↓ -42% |
| UPMC Health Plan | Managed Medicaid | $124.15 | ↓ -41% |
| United Healthcare Community Plan for Families | Unison Kids | $129.79 | ↓ -38% |
| Aetna | EBR FI | $133.00 | ↓ -37% |
| Aetna | Home Depot Employer Group | $133.70 | ↓ -36% |
| United Healthcare | All Business | $136.50 | ↓ -35% |
| Aetna | NBR ASO/FI | $136.50 | ↓ -35% |
| Cigna | New Business ASO | $136.50 | ↓ -35% |
| Cigna | NBR ASO/FI | $136.50 | ↓ -35% |
| Cigna | Commercial | $140.00 | ↓ -33% |
| Cigna | EBR | $140.00 | ↓ -33% |
| Aetna | EBR ASO | $140.00 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $140.96 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $143.02 | ↓ -32% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $145.71 | ↓ -31% |
| Aetna of PA | Medicare | $149.76 | ↓ -29% |
| United Healthcare | Unison Advantage Non Special Needs | $149.76 | ↓ -29% |
| United Healthcare | Medicare | $152.61 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $154.03 | ↓ -27% |
| AmeriHealth Caritas | Medicare | $154.04 | ↓ -27% |
| Cigna | Medicare | $154.04 | ↓ -27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $154.04 | ↓ -27% |
| Geisinger | Medicaid/CHIP | $156.86 | ↓ -25% |
| Aetna | Medicare | $156.89 | ↓ -25% |
| United Healthcare | Unison Advantage Special Needs | $156.89 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicaid | $167.37 | ↓ -20% |
| InterGroup | PPO | $175.00 | ↓ -17% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $176.19 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $192.34 | ↓ -8% |
| UPMC Health Plan | CHIP | $235.20 | ↑ +12% |
| Coventry/First Health | Commercial | $245.00 | ↑ +17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $267.65 | ↑ +27% |
| Private Health Care Systems | PPO | $280.00 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $465.26 | ↑ +122% |
| Highmark BCBS of PA | Managed Care | $623.11 | ↑ +197% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $774.65 | ↑ +269% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,037.48 | ↑ +394% |
| Highmark BCBS of PA | UPMC Emergent | $1,246.22 | ↑ +493% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $210.00 | $112.86 – $280.00 |
| UPMC Bedford | Everett | $210.00 | $51.46 – $315.00 |
| UPMC Carlisle | Carlisle | $210.00 | $47.95 – $297.50 |
| UPMC Cole | Coudersport | $196.80 | $53.00 – $262.40 |
| UPMC Community Osteopathic | Harrisburg | $210.00 | $70.00 – $297.50 |
| UPMC Hamot | Erie | $210.00 | $112.86 – $265.12 |
| UPMC Northwest | Seneca | $210.00 | $124.15 – $154.04 |
| UPMC Hanover | Hanover | $210.00 | $112.86 – $228.21 |