Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$859.80
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.
$1,433.00
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.
$198.23 with Highmark BCBS of PA vs $1,146.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $198.23 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $206.48 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $209.48 | ↓ -76% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $213.43 | ↓ -75% |
| Aetna of PA | Medicare | $219.37 | ↓ -74% |
| United Healthcare | Unison Advantage Non Special Needs | $219.37 | ↓ -74% |
| United Healthcare | Medicare | $223.54 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $225.61 | ↓ -74% |
| Cigna | Medicare | $225.63 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $225.63 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $225.63 | ↓ -74% |
| Aetna | Medicare | $229.81 | ↓ -73% |
| United Healthcare | Unison Advantage Special Needs | $229.81 | ↓ -73% |
| UPMC Health Plan | Commercial | $277.29 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $344.60 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $461.51 | ↓ -46% |
| United Healthcare | Compass Exchange | $472.89 | ↓ -45% |
| Aetna | Neighborhood Network | $502.98 | ↓ -42% |
| Aetna | EBR FI | $544.54 | ↓ -37% |
| Aetna | Home Depot Employer Group | $547.41 | ↓ -36% |
| United Healthcare | All Business | $558.87 | ↓ -35% |
| Cigna | NBR ASO/FI | $558.87 | ↓ -35% |
| Cigna | New Business ASO | $558.87 | ↓ -35% |
| Aetna | NBR ASO/FI | $558.87 | ↓ -35% |
| Aetna | EBR ASO | $573.20 | ↓ -33% |
| Cigna | Commercial | $573.20 | ↓ -33% |
| Cigna | EBR | $573.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $573.75 | ↓ -33% |
| InterGroup | PPO | $716.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $768.41 | ↓ -11% |
| Geisinger | Medicaid/CHIP | $788.15 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $788.15 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $923.02 | ↑ +7% |
| Coventry/First Health | Commercial | $1,003.10 | ↑ +17% |
| UPMC Health Plan | CHIP | $1,008.00 | ↑ +17% |
| Private Health Care Systems | PPO | $1,146.40 | ↑ +33% |
Visitor-reported prices
Comments
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $732.60 | $196.36 – $517.60 |
| UPMC Bedford | Everett | $1,288.20 | $75.38 – $627.30 |
| UPMC Carlisle | Carlisle | $1,206.60 | $114.91 – $1,709.35 |
| UPMC Cole | Coudersport | $940.80 | $53.00 – $1,254.40 |
| UPMC Community Osteopathic | Harrisburg | $1,206.60 | $166.95 – $1,709.35 |
| UPMC Hamot | Erie | $886.80 | $196.36 – $225.63 |
| UPMC Northwest | Seneca | $859.80 | $189.47 – $225.63 |
| UPMC Horizon-Greenville | Greenville | $859.80 | $187.05 – $317.51 |