Mayo repu protein electrophoresis urine at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$369.60
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.
?
What you pay up front if you don't use insurance.
$616.00
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.
$16.76 with UPMC Health Plan vs $492.80 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $16.76 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $17.62 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $17.88 | ↓ -95% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $18.22 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $18.72 | ↓ -95% |
| Aetna of PA | Medicare | $18.72 | ↓ -95% |
| United Healthcare | Medicare | $19.08 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.25 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $19.26 | ↓ -95% |
| Cigna | Medicare | $19.26 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.26 | ↓ -95% |
| Aetna | Medicare | $19.61 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $19.61 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.94 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $21.93 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $22.93 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $27.71 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.57 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.13 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $33.98 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.32 | ↓ -87% |
| UPMC Health Plan | CHIP | $60.93 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $84.00 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $112.49 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $139.85 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity | $187.30 | ↓ -49% |
| United Healthcare | Compass Exchange | $203.28 | ↓ -45% |
| Aetna | Neighborhood Network | $216.22 | ↓ -41% |
| Highmark BCBS of PA | UPMC Emergent | $224.99 | ↓ -39% |
| Aetna | EBR FI | $234.08 | ↓ -37% |
| Aetna | Home Depot Employer Group | $235.31 | ↓ -36% |
| Cigna | NBR ASO/FI | $240.24 | ↓ -35% |
| Aetna | NBR ASO/FI | $240.24 | ↓ -35% |
| United Healthcare | All Business | $240.24 | ↓ -35% |
| Cigna | New Business ASO | $240.24 | ↓ -35% |
| Cigna | EBR | $246.40 | ↓ -33% |
| Cigna | Commercial | $246.40 | ↓ -33% |
| Aetna | EBR ASO | $246.40 | ↓ -33% |
| InterGroup | PPO | $308.00 | ↓ -17% |
| Coventry/First Health | Commercial | $431.20 | ↑ +17% |
| Private Health Care Systems | PPO | $492.80 | ↑ +33% |
Visitor-reported prices
Comments
Mayo repu protein electrophoresis urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $137.40 | $17.62 – $183.20 |
| UPMC Bedford | Everett | $108.00 | $6.43 – $162.00 |
| UPMC Carlisle | Carlisle | $91.20 | $15.91 – $129.20 |
| UPMC Cole | Coudersport | $86.40 | $11.59 – $115.20 |
| UPMC Community Osteopathic | Harrisburg | $91.20 | $17.65 – $129.20 |
| UPMC Hamot | Erie | $198.00 | $17.62 – $47.86 |
| UPMC Northwest | Seneca | $241.20 | $16.17 – $22.93 |
| UPMC Hanover | Hanover | $91.20 | $15.91 – $28.53 |