Mayo hemosiderin qualitative urine at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$154.80
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.
$258.00
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.
$3.00 with Health Partners Plans (Jefferson Health Plan) vs $206.40 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $3.00 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $3.30 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison Kids | $3.45 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $4.17 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.45 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.68 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $4.70 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $4.76 | ↓ -97% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4.85 | ↓ -97% |
| Aetna of PA | Medicare | $4.99 | ↓ -97% |
| United Healthcare | Unison Advantage Non Special Needs | $4.99 | ↓ -97% |
| United Healthcare | Medicare | $5.08 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $5.11 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $5.13 | ↓ -97% |
| Cigna | Medicare | $5.13 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.13 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5.13 | ↓ -97% |
| Aetna | Medicare | $5.22 | ↓ -97% |
| United Healthcare | Unison Advantage Special Needs | $5.22 | ↓ -97% |
| UPMC Health Plan | Commercial | $7.78 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.02 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $22.64 | ↓ -85% |
| UPMC Health Plan | CHIP | $28.28 | ↓ -82% |
| Highmark BCBS of PA | Managed Care | $30.32 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $37.69 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Indemnity | $50.48 | ↓ -67% |
| Highmark BCBS of PA | UPMC Emergent | $60.64 | ↓ -61% |
| United Healthcare | Compass Exchange | $85.14 | ↓ -45% |
| Aetna | Neighborhood Network | $90.56 | ↓ -41% |
| Aetna | EBR FI | $98.04 | ↓ -37% |
| Aetna | Home Depot Employer Group | $98.56 | ↓ -36% |
| Cigna | NBR ASO/FI | $100.62 | ↓ -35% |
| Aetna | NBR ASO/FI | $100.62 | ↓ -35% |
| United Healthcare | All Business | $100.62 | ↓ -35% |
| Cigna | New Business ASO | $100.62 | ↓ -35% |
| Cigna | EBR | $103.20 | ↓ -33% |
| Cigna | Commercial | $103.20 | ↓ -33% |
| Aetna | EBR ASO | $103.20 | ↓ -33% |
| InterGroup | PPO | $129.00 | ↓ -17% |
| Coventry/First Health | Commercial | $180.60 | ↑ +17% |
| Private Health Care Systems | PPO | $206.40 | ↑ +33% |
Visitor-reported prices
Comments
Mayo hemosiderin qualitative urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $91.80 | $3.00 – $122.40 |
| UPMC Carlisle | Carlisle | $24.00 | $3.00 – $34.00 |
| UPMC Cole | Coudersport | $48.60 | $3.09 – $64.80 |
| UPMC Community Osteopathic | Harrisburg | $24.00 | $3.00 – $34.00 |
| UPMC Hanover | Hanover | $24.00 | $3.00 – $7.60 |
| UPMC Horizon-Greenville | Greenville | $51.00 | $3.00 – $8.91 |
| UPMC Kane | Kane | $80.40 | $3.30 – $20.50 |
| UPMC Lititz | Lititz | $24.00 | $3.00 – $7.60 |