Phlebotomy therapeutic at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$272.40
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.
$454.00
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.
$11.00 with UPMC Health Plan vs $372.61 with Highmark BCBS of PA — 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 Health Plan | Managed Medicaid | $11.00 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $11.50 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $13.90 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.83 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.08 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $17.04 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $37.01 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $53.26 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $123.22 | ↓ -55% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $125.54 | ↓ -54% |
| Aetna of PA | Medicare | $129.03 | ↓ -53% |
| United Healthcare | Unison Advantage Non Special Needs | $129.03 | ↓ -53% |
| United Healthcare | Medicare | $131.49 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.72 | ↓ -51% |
| Cigna | Medicare | $132.72 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $132.72 | ↓ -51% |
| United Healthcare | Unison Advantage Special Needs | $135.18 | ↓ -50% |
| Aetna | Medicare | $135.18 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $139.10 | ↓ -49% |
| United Healthcare | Compass Exchange | $149.82 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $154.14 | ↓ -43% |
| UPMC Health Plan | CHIP | $154.17 | ↓ -43% |
| Aetna | Neighborhood Network | $159.35 | ↓ -42% |
| Aetna | EBR FI | $172.52 | ↓ -37% |
| Aetna | Home Depot Employer Group | $173.43 | ↓ -36% |
| United Healthcare | All Business | $177.06 | ↓ -35% |
| Aetna | NBR ASO/FI | $177.06 | ↓ -35% |
| Cigna | NBR ASO/FI | $177.06 | ↓ -35% |
| Cigna | New Business ASO | $177.06 | ↓ -35% |
| Cigna | EBR | $181.60 | ↓ -33% |
| Cigna | Commercial | $181.60 | ↓ -33% |
| Aetna | EBR ASO | $181.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $186.30 | ↓ -32% |
| UPMC Health Plan | Commercial | $187.08 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Indemnity | $206.43 | ↓ -24% |
| InterGroup | PPO | $227.00 | ↓ -17% |
| Coventry/First Health | Commercial | $317.80 | ↑ +17% |
| Private Health Care Systems | PPO | $363.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $372.61 | ↑ +37% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $261.00 | $10.00 – $348.00 |
| UPMC Bedford | Everett | $250.80 | $10.50 – $376.20 |
| UPMC Carlisle | Carlisle | $231.00 | $12.70 – $327.25 |
| UPMC Cole | Coudersport | $298.20 | $10.50 – $397.60 |
| UPMC Community Osteopathic | Harrisburg | $231.00 | $12.70 – $327.25 |
| UPMC Hamot | Erie | $192.00 | $11.00 – $161.87 |
| UPMC Northwest | Seneca | $331.80 | $11.00 – $129.03 |
| UPMC Hanover | Hanover | $231.00 | $12.70 – $197.02 |