Lipoprotein blood quant at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$631.80
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.
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What you pay up front if you don't use insurance.
$1,053.00
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.
$33.79 with UPMC Work Partners vs $842.40 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 | $33.79 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $34.28 | ↓ -95% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $34.93 | ↓ -94% |
| United Healthcare | Unison Advantage Non Special Needs | $35.90 | ↓ -94% |
| Aetna of PA | Medicare | $35.90 | ↓ -94% |
| United Healthcare | Medicare | $36.58 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $36.92 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $36.93 | ↓ -94% |
| Cigna | Medicare | $36.93 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $36.93 | ↓ -94% |
| Aetna | Medicare | $37.61 | ↓ -94% |
| United Healthcare | Unison Advantage Special Needs | $37.61 | ↓ -94% |
| UPMC Health Plan | Commercial | $50.11 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $82.72 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $143.79 | ↓ -77% |
| UPMC Health Plan | CHIP | $182.17 | ↓ -71% |
| Highmark BCBS of PA | Managed Care | $192.57 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $239.41 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity | $320.63 | ↓ -49% |
| United Healthcare | Compass Exchange | $347.49 | ↓ -45% |
| Aetna | Neighborhood Network | $369.60 | ↓ -42% |
| Highmark BCBS of PA | UPMC Emergent | $385.14 | ↓ -39% |
| Aetna | EBR FI | $400.14 | ↓ -37% |
| Aetna | Home Depot Employer Group | $402.25 | ↓ -36% |
| Cigna | New Business ASO | $410.67 | ↓ -35% |
| Aetna | NBR ASO/FI | $410.67 | ↓ -35% |
| Cigna | NBR ASO/FI | $410.67 | ↓ -35% |
| United Healthcare | All Business | $410.67 | ↓ -35% |
| Cigna | EBR | $421.20 | ↓ -33% |
| Aetna | EBR ASO | $421.20 | ↓ -33% |
| Cigna | Commercial | $421.20 | ↓ -33% |
| InterGroup | PPO | $526.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $579.15 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $579.15 | ↓ -8% |
| Coventry/First Health | Commercial | $737.10 | ↑ +17% |
| Private Health Care Systems | PPO | $842.40 | ↑ +33% |
Visitor-reported prices
Comments
Lipoprotein blood quant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $394.20 | $33.79 – $525.60 |
| UPMC Bedford | Everett | $222.00 | $12.34 – $333.00 |
| UPMC Carlisle | Carlisle | $172.20 | $18.80 – $243.95 |
| UPMC Community Osteopathic | Harrisburg | $172.20 | $27.33 – $243.95 |
| UPMC Hamot | Erie | $501.00 | $33.79 – $81.94 |
| UPMC Northwest | Seneca | $280.20 | $31.01 – $36.93 |
| UPMC Hanover | Hanover | $172.20 | $27.33 – $182.17 |
| UPMC Horizon-Greenville | Greenville | $271.20 | $30.61 – $64.16 |