Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$139.20
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.
$232.00
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.
$15.16 with UPMC Health Plan vs $185.60 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 Health Plan | Commercial | $15.16 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16.53 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $28.74 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $38.49 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $47.85 | ↓ -66% |
| UPMC Health Plan | CHIP | $55.10 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity | $64.08 | ↓ -54% |
| United Healthcare | Compass Exchange | $76.56 | ↓ -45% |
| Highmark BCBS of PA | UPMC Emergent | $76.98 | ↓ -45% |
| Aetna | Neighborhood Network | $81.43 | ↓ -42% |
| Aetna | EBR FI | $88.16 | ↓ -37% |
| Aetna | Home Depot Employer Group | $88.62 | ↓ -36% |
| Aetna | NBR ASO/FI | $90.48 | ↓ -35% |
| United Healthcare | All Business | $90.48 | ↓ -35% |
| Cigna | NBR ASO/FI | $90.48 | ↓ -35% |
| Cigna | New Business ASO | $90.48 | ↓ -35% |
| Aetna | EBR ASO | $92.80 | ↓ -33% |
| Cigna | Commercial | $92.80 | ↓ -33% |
| Cigna | EBR | $92.80 | ↓ -33% |
| InterGroup | PPO | $116.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $127.60 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $127.60 | ↓ -8% |
| Coventry/First Health | Commercial | $162.40 | ↑ +17% |
| UPMC Health Plan | Managed Medicare | $163.81 | ↑ +18% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $166.90 | ↑ +20% |
| Aetna of PA | Medicare | $171.54 | ↑ +23% |
| United Healthcare | Unison Advantage Non Special Needs | $171.54 | ↑ +23% |
| United Healthcare | Medicare | $174.81 | ↑ +26% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↑ +27% |
| AmeriHealth Caritas | Medicare | $176.44 | ↑ +27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↑ +27% |
| Cigna | Medicare | $176.44 | ↑ +27% |
| Aetna | Medicare | $179.71 | ↑ +29% |
| United Healthcare | Unison Advantage Special Needs | $179.71 | ↑ +29% |
| Private Health Care Systems | PPO | $185.60 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $126.00 | $16.38 – $176.44 |
| UPMC Bedford | Everett | $141.00 | $15.37 – $211.50 |
| UPMC Hamot | Erie | $161.40 | $16.38 – $213.04 |
| UPMC Northwest | Seneca | $139.80 | $15.30 – $176.44 |
| UPMC Horizon-Greenville | Greenville | $139.80 | $15.35 – $176.44 |
| UPMC Jameson | New Castle | $131.40 | $2.64 – $176.44 |
| UPMC Magee | Pittsburgh | $139.20 | $16.04 – $179.71 |
| UPMC McKeesport | Mckeesport | $139.80 | $15.56 – $179.71 |