Mayo analysis gene smn1 dosage/deletion at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,547.60
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.
$4,246.00
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.
$84.46 with Highmark BCBS of PA vs $1,004.36 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $84.46 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $109.60 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $120.56 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $126.04 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $135.40 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $137.37 | ↓ -95% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $139.96 | ↓ -95% |
| Aetna of PA | Medicare | $143.85 | ↓ -94% |
| United Healthcare | Unison Advantage Non Special Needs | $143.85 | ↓ -94% |
| United Healthcare | Medicare | $146.59 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $146.82 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $147.95 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $147.96 | ↓ -94% |
| Cigna | Medicare | $147.96 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $147.96 | ↓ -94% |
| Aetna | Medicare | $150.70 | ↓ -94% |
| United Healthcare | Unison Advantage Special Needs | $150.70 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $152.33 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $162.54 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $171.10 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $186.78 | ↓ -93% |
| Highmark BCBS of PA | Managed Care | $196.64 | ↓ -92% |
| United Healthcare | Compass Exchange | $203.94 | ↓ -92% |
| Aetna | Neighborhood Network | $216.92 | ↓ -91% |
| Aetna | EBR FI | $234.84 | ↓ -91% |
| Aetna | Home Depot Employer Group | $236.08 | ↓ -91% |
| United Healthcare | All Business | $241.02 | ↓ -91% |
| Aetna | NBR ASO/FI | $241.02 | ↓ -91% |
| Cigna | NBR ASO/FI | $241.02 | ↓ -91% |
| Cigna | New Business ASO | $241.02 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $244.46 | ↓ -90% |
| Cigna | Commercial | $247.20 | ↓ -90% |
| Aetna | EBR ASO | $247.20 | ↓ -90% |
| Cigna | EBR | $247.20 | ↓ -90% |
| InterGroup | PPO | $309.00 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Indemnity | $327.40 | ↓ -87% |
| Highmark BCBS of PA | UPMC Emergent | $393.27 | ↓ -85% |
| Coventry/First Health | Commercial | $432.60 | ↓ -83% |
| UPMC Health Plan | Commercial | $468.26 | ↓ -82% |
| Private Health Care Systems | PPO | $494.40 | ↓ -81% |
| UPMC Health Plan | CHIP | $1,004.36 | ↓ -61% |
Visitor-reported prices
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Mayo analysis gene smn1 dosage/deletion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,430.60 | $83.66 – $489.60 |
| UPMC Bedford | Everett | $2,547.60 | $49.43 – $556.20 |
| UPMC Carlisle | Carlisle | $792.60 | $109.60 – $1,122.85 |
| UPMC Community Osteopathic | Harrisburg | $792.60 | $109.60 – $1,122.85 |
| UPMC Hamot | Erie | $1,301.40 | $83.66 – $152.33 |
| UPMC Northwest | Seneca | $2,547.60 | $120.56 – $147.96 |
| UPMC Hanover | Hanover | $792.60 | $109.60 – $219.20 |
| UPMC Horizon-Greenville | Greenville | $1,261.80 | $109.60 – $152.33 |