Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,051.20
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.
$1,752.00
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.
$102.91 with UPMC Health Plan vs $1,003.20 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 Health Plan | Commercial | $102.91 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $143.15 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $145.23 | ↓ -86% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $147.97 | ↓ -86% |
| Aetna of PA | Medicare | $152.08 | ↓ -86% |
| United Healthcare | Unison Advantage Non Special Needs | $152.08 | ↓ -86% |
| United Healthcare | Medicare | $154.98 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $156.41 | ↓ -85% |
| Cigna | Medicare | $156.43 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $156.43 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $156.43 | ↓ -85% |
| Aetna | Medicare | $159.32 | ↓ -85% |
| United Healthcare | Unison Advantage Special Needs | $159.32 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $161.77 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $281.22 | ↓ -73% |
| UPMC Health Plan | CHIP | $374.08 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $376.63 | ↓ -64% |
| United Healthcare | Compass Exchange | $413.82 | ↓ -61% |
| Aetna | Neighborhood Network | $440.15 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $468.22 | ↓ -55% |
| Aetna | EBR FI | $476.52 | ↓ -55% |
| Aetna | Home Depot Employer Group | $479.03 | ↓ -54% |
| Cigna | New Business ASO | $489.06 | ↓ -53% |
| Cigna | NBR ASO/FI | $489.06 | ↓ -53% |
| United Healthcare | All Business | $489.06 | ↓ -53% |
| Aetna | NBR ASO/FI | $489.06 | ↓ -53% |
| Aetna | EBR ASO | $501.60 | ↓ -52% |
| Cigna | EBR | $501.60 | ↓ -52% |
| Cigna | Commercial | $501.60 | ↓ -52% |
| InterGroup | PPO | $627.00 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $627.08 | ↓ -40% |
| Geisinger | Medicaid/CHIP | $689.70 | ↓ -34% |
| PA Health & Wellness | PA Medicaid HMO | $689.70 | ↓ -34% |
| Highmark BCBS of PA | UPMC Emergent | $753.25 | ↓ -28% |
| Coventry/First Health | Commercial | $877.80 | ↓ -16% |
| Private Health Care Systems | PPO | $1,003.20 | ↓ -5% |
Visitor-reported prices
Comments
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $964.80 | $143.15 – $975.20 |
| UPMC Bedford | Everett | $1,051.20 | $52.26 – $1,576.80 |
| UPMC Carlisle | Carlisle | $837.60 | $79.66 – $1,186.60 |
| UPMC Community Osteopathic | Harrisburg | $837.60 | $115.74 – $1,186.60 |
| UPMC Hamot | Erie | $1,068.00 | $143.15 – $160.25 |
| UPMC Northwest | Seneca | $1,051.20 | $103.86 – $156.43 |
| UPMC Hanover | Hanover | $837.60 | $115.74 – $374.08 |
| UPMC Jameson | New Castle | $1,051.20 | $101.60 – $163.07 |