Mayo sfgp rickettsia rickettsii antibody igg at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$397.80
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.
$663.00
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.
$19.13 with UPMC Work Partners vs $530.40 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $19.13 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $19.40 | ↓ -95% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $19.77 | ↓ -95% |
| Aetna of PA | Medicare | $20.32 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $20.32 | ↓ -95% |
| United Healthcare | Medicare | $20.70 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $20.90 | ↓ -95% |
| Cigna | Medicare | $20.90 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.90 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.90 | ↓ -95% |
| Aetna | Medicare | $21.29 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $21.29 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $21.40 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $23.54 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $24.61 | ↓ -94% |
| UPMC Health Plan | Commercial | $24.85 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $29.74 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.74 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.41 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $36.47 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $51.87 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $90.16 | ↓ -77% |
| UPMC Health Plan | CHIP | $90.33 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $120.75 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $150.12 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity | $201.05 | ↓ -49% |
| United Healthcare | Compass Exchange | $218.79 | ↓ -45% |
| Aetna | Neighborhood Network | $232.71 | ↓ -42% |
| Highmark BCBS of PA | UPMC Emergent | $241.50 | ↓ -39% |
| Aetna | EBR FI | $251.94 | ↓ -37% |
| Aetna | Home Depot Employer Group | $253.27 | ↓ -36% |
| Cigna | NBR ASO/FI | $258.57 | ↓ -35% |
| Aetna | NBR ASO/FI | $258.57 | ↓ -35% |
| United Healthcare | All Business | $258.57 | ↓ -35% |
| Cigna | New Business ASO | $258.57 | ↓ -35% |
| Cigna | EBR | $265.20 | ↓ -33% |
| Cigna | Commercial | $265.20 | ↓ -33% |
| Aetna | EBR ASO | $265.20 | ↓ -33% |
| InterGroup | PPO | $331.50 | ↓ -17% |
| Coventry/First Health | Commercial | $464.10 | ↑ +17% |
| Private Health Care Systems | PPO | $530.40 | ↑ +33% |
Visitor-reported prices
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Mayo sfgp rickettsia rickettsii antibody igg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $175.20 | $19.13 – $233.60 |
| UPMC Bedford | Everett | $114.60 | $6.98 – $171.90 |
| UPMC Carlisle | Carlisle | $107.40 | $19.09 – $152.15 |
| UPMC Community Osteopathic | Harrisburg | $107.40 | $18.00 – $90.33 |
| UPMC Hamot | Erie | $156.60 | $19.13 – $51.38 |
| UPMC Northwest | Seneca | $175.80 | $17.55 – $24.61 |
| UPMC Hanover | Hanover | $107.40 | $19.09 – $30.96 |
| UPMC Horizon-Greenville | Greenville | $154.80 | $17.32 – $36.31 |