Mayo gamma-globin full gene sequencing at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$9,424.80
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.
$15,708.00
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.
$75.50 with Aetna vs $357.10 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | Medicare | $75.50 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $76.69 | ↓ -99% |
| United Healthcare | Compass Exchange | $99.66 | ↓ -99% |
| UPMC Health Plan | CHIP | $105.70 | ↓ -99% |
| Aetna | Neighborhood Network | $106.00 | ↓ -99% |
| Aetna | EBR FI | $114.76 | ↓ -99% |
| Aetna | Home Depot Employer Group | $115.36 | ↓ -99% |
| Cigna | NBR ASO/FI | $117.78 | ↓ -99% |
| Cigna | New Business ASO | $117.78 | ↓ -99% |
| Aetna | NBR ASO/FI | $117.78 | ↓ -99% |
| United Healthcare | All Business | $117.78 | ↓ -99% |
| Cigna | EBR | $120.80 | ↓ -99% |
| Aetna | EBR ASO | $120.80 | ↓ -99% |
| Cigna | Commercial | $120.80 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $133.32 | ↓ -99% |
| UPMC Health Plan | Commercial | $148.13 | ↓ -98% |
| InterGroup | PPO | $151.00 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $151.00 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $166.10 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $166.10 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $178.55 | ↓ -98% |
| Coventry/First Health | Commercial | $211.40 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $221.97 | ↓ -98% |
| Private Health Care Systems | PPO | $241.60 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $297.28 | ↓ -97% |
| Highmark BCBS of PA | UPMC Emergent | $357.10 | ↓ -96% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Mayo gamma-globin full gene sequencing at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,247.80 | $75.97 – $189.60 |
| UPMC Bedford | Everett | $4,357.80 | $210.67 – $1,256.40 |
| UPMC Carlisle | Carlisle | $192.60 | $43.98 – $1,096.80 |
| UPMC Cole | Coudersport | $348.00 | $53.00 – $464.00 |
| UPMC Community Osteopathic | Harrisburg | $201.00 | $64.20 – $303.70 |
| UPMC Hamot | Erie | $9,754.20 | $75.97 – $210.76 |
| UPMC Northwest | Seneca | $8,992.20 | $197.17 – $197.17 |
| UPMC Hanover | Hanover | $192.60 | $436.92 – $1,096.80 |