Pten gene dup/delet variant at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$223.80
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.
$373.00
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.
$51.62 with Highmark BCBS of PA vs $330.00 with Aetna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $51.62 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $89.74 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $120.18 | ↓ -46% |
| United Healthcare | Compass Exchange | $123.09 | ↓ -45% |
| UPMC Health Plan | CHIP | $130.55 | ↓ -42% |
| Aetna | Neighborhood Network | $130.92 | ↓ -42% |
| Aetna | EBR FI | $141.74 | ↓ -37% |
| Aetna | Home Depot Employer Group | $142.49 | ↓ -36% |
| Cigna | New Business ASO | $145.47 | ↓ -35% |
| Cigna | NBR ASO/FI | $145.47 | ↓ -35% |
| United Healthcare | All Business | $145.47 | ↓ -35% |
| Aetna | NBR ASO/FI | $145.47 | ↓ -35% |
| Cigna | Commercial | $149.20 | ↓ -33% |
| Aetna | EBR ASO | $149.20 | ↓ -33% |
| Cigna | EBR | $149.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $149.41 | ↓ -33% |
| UPMC Health Plan | Commercial | $182.96 | ↓ -18% |
| InterGroup | PPO | $186.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $200.10 | ↓ -11% |
| PA Health & Wellness | PA Medicaid HMO | $205.15 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $205.15 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $240.37 | ↑ +7% |
| Coventry/First Health | Commercial | $261.10 | ↑ +17% |
| UPMC Work Partners | Workers Comp | $296.49 | ↑ +32% |
| Private Health Care Systems | PPO | $298.40 | ↑ +33% |
| UPMC Health Plan | Managed Medicare | $300.81 | ↑ +34% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $306.48 | ↑ +37% |
| Aetna of PA | Medicare | $315.00 | ↑ +41% |
| United Healthcare | Unison Advantage Non Special Needs | $315.00 | ↑ +41% |
| United Healthcare | Medicare | $321.00 | ↑ +43% |
| Highmark Wholecare (prev Gateway) | Medicare | $323.97 | ↑ +45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $324.00 | ↑ +45% |
| AmeriHealth Caritas | Medicare | $324.00 | ↑ +45% |
| Cigna | Medicare | $324.00 | ↑ +45% |
| United Healthcare | Unison Advantage Special Needs | $330.00 | ↑ +47% |
| Aetna | Medicare | $330.00 | ↑ +47% |
Visitor-reported prices
Comments
Pten gene dup/delet variant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $327.60 | $51.14 – $436.80 |
| UPMC Northwest | Seneca | $336.60 | $132.72 – $324.00 |
| UPMC Jameson | New Castle | $336.60 | $52.04 – $324.00 |
| UPMC Magee | Pittsburgh | $898.80 | $51.62 – $330.00 |
| UPMC McKeesport | Mckeesport | $336.60 | $51.62 – $330.00 |
| UPMC Mercy | Pittsburgh | $575.40 | $51.14 – $330.00 |
| UPMC Passavant-McCandless | Pittsburgh | $357.00 | $51.62 – $344.76 |
| UPMC Presbyterian | Pittsburgh | $336.60 | $51.62 – $344.76 |