Sarscov coronavirus ag ia at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$34.80
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.
$58.00
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.
$19.14 with United Healthcare vs $395.19 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 |
|---|---|---|---|
| United Healthcare | Compass Exchange | $19.14 | ↓ -45% |
| Aetna | Neighborhood Network | $20.36 | ↓ -41% |
| Aetna | EBR FI | $22.04 | ↓ -37% |
| Aetna | Home Depot Employer Group | $22.16 | ↓ -36% |
| Cigna | New Business ASO | $22.62 | ↓ -35% |
| Aetna | NBR ASO/FI | $22.62 | ↓ -35% |
| United Healthcare | All Business | $22.62 | ↓ -35% |
| Cigna | NBR ASO/FI | $22.62 | ↓ -35% |
| Aetna | EBR ASO | $23.20 | ↓ -33% |
| Cigna | Commercial | $23.20 | ↓ -33% |
| Cigna | EBR | $23.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $28.72 | ↓ -17% |
| InterGroup | PPO | $29.00 | ↓ -17% |
| UPMC Work Partners | Workers Comp | $34.92 | ↑ +0% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $34.94 | ↑ +0% |
| UPMC Health Plan | Managed Medicare | $35.43 | ↑ +2% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $36.09 | ↑ +4% |
| Aetna of PA | Medicare | $37.10 | ↑ +7% |
| United Healthcare | Unison Advantage Non Special Needs | $37.10 | ↑ +7% |
| United Healthcare | Medicare | $37.80 | ↑ +9% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.15 | ↑ +10% |
| AmeriHealth Caritas | Medicare | $38.16 | ↑ +10% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $38.16 | ↑ +10% |
| Cigna | Medicare | $38.16 | ↑ +10% |
| UPMC Health Plan | Managed Medicaid | $38.43 | ↑ +10% |
| Aetna | Medicare | $38.86 | ↑ +12% |
| United Healthcare | Unison Advantage Special Needs | $38.86 | ↑ +12% |
| United Healthcare Community Plan for Families | Unison Kids | $40.18 | ↑ +15% |
| Coventry/First Health | Commercial | $40.60 | ↑ +17% |
| Private Health Care Systems | PPO | $46.40 | ↑ +33% |
| Geisinger | Medicaid/CHIP | $48.56 | ↑ +40% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.82 | ↑ +49% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.54 | ↑ +57% |
| PA Health & Wellness | PA Medicaid HMO | $59.54 | ↑ +71% |
| UPMC Health Plan | CHIP | $61.60 | ↑ +77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $84.87 | ↑ +144% |
| Highmark BCBS of PA | Managed Care - Social Mission | $147.54 | ↑ +324% |
| Highmark BCBS of PA | Managed Care | $197.60 | ↑ +468% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $245.65 | ↑ +606% |
| Highmark BCBS of PA | Commercial - Indemnity | $329.00 | ↑ +845% |
| Highmark BCBS of PA | UPMC Emergent | $395.19 | ↑ +1036% |
Visitor-reported prices
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Sarscov coronavirus ag ia at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $34.80 | $29.00 – $84.07 |
| UPMC Bedford | Everett | $34.80 | $12.75 – $52.20 |
| UPMC Carlisle | Carlisle | $84.60 | $17.76 – $119.85 |
| UPMC Community Osteopathic | Harrisburg | $84.60 | $28.20 – $119.85 |
| UPMC Hamot | Erie | $34.80 | $30.76 – $84.07 |
| UPMC Northwest | Seneca | $34.80 | $32.04 – $40.18 |
| UPMC Hanover | Hanover | $84.60 | $17.76 – $56.53 |
| UPMC Horizon-Greenville | Greenville | $34.80 | $31.63 – $66.30 |