healthcosts.net
PSA (Prostate) Test at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$72.60
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.
$121.00
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.
$18.17 with UPMC Work Partners vs $167.15 with Highmark BCBS of PA — 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 Work Partners | Workers Comp | $18.17 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $18.44 | ↓ -75% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $18.79 | ↓ -74% |
| United Healthcare | Unison Advantage Non Special Needs | $19.31 | ↓ -73% |
| Aetna of PA | Medicare | $19.31 | ↓ -73% |
| United Healthcare | Medicare | $19.68 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $19.86 | ↓ -73% |
| Cigna | Medicare | $19.86 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.86 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.86 | ↓ -73% |
| Aetna | Medicare | $20.23 | ↓ -72% |
| United Healthcare | Unison Advantage Special Needs | $20.23 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $24.36 | ↓ -66% |
| UPMC Health Plan | Commercial | $26.00 | ↓ -64% |
| UPMC Health Plan | Managed Medicaid | $26.80 | ↓ -63% |
| United Healthcare Community Plan for Families | Unison Kids | $28.01 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $33.86 | ↓ -53% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $35.90 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicaid | $36.13 | ↓ -50% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $38.03 | ↓ -48% |
| United Healthcare | Compass Exchange | $39.93 | ↓ -45% |
| PA Health & Wellness | PA Medicaid HMO | $41.51 | ↓ -43% |
| Aetna | Neighborhood Network | $42.47 | ↓ -42% |
| Aetna | EBR FI | $45.98 | ↓ -37% |
| Aetna | Home Depot Employer Group | $46.22 | ↓ -36% |
| Cigna | NBR ASO/FI | $47.19 | ↓ -35% |
| Aetna | NBR ASO/FI | $47.19 | ↓ -35% |
| Cigna | New Business ASO | $47.19 | ↓ -35% |
| United Healthcare | All Business | $47.19 | ↓ -35% |
| Cigna | EBR | $48.40 | ↓ -33% |
| Cigna | Commercial | $48.40 | ↓ -33% |
| Aetna | EBR ASO | $48.40 | ↓ -33% |
| InterGroup | PPO | $60.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $62.40 | ↓ -14% |
| Highmark BCBS of PA | Managed Care | $83.57 | ↑ +15% |
| Coventry/First Health | Commercial | $84.70 | ↑ +17% |
| UPMC Health Plan | CHIP | $94.53 | ↑ +30% |
| Private Health Care Systems | PPO | $96.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $103.90 | ↑ +43% |
| Highmark BCBS of PA | Commercial - Indemnity | $139.15 | ↑ +92% |
| Highmark BCBS of PA | UPMC Emergent | $167.15 | ↑ +130% |
Visitor-reported prices
Comments
PSA (Prostate) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $109.80 | $18.21 – $155.55 |
| UPMC Altoona | Altoona | $118.80 | $18.17 – $158.40 |
| UPMC Bedford | Everett | $115.80 | $6.64 – $173.70 |
| UPMC Cole | Coudersport | $125.40 | $11.95 – $167.20 |
| UPMC Community Osteopathic | Harrisburg | $115.20 | $18.21 – $155.55 |
| UPMC Hamot | Erie | $307.80 | $18.17 – $359.10 |
| UPMC Hanover | Hanover | $109.80 | $18.21 – $159.21 |
| UPMC Horizon-Greenville | Greenville | $114.60 | $16.46 – $162.35 |