Screening hepatitis c antibody high risk at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$42.00
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.
$70.00
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.
$9.31 with Highmark BCBS of PA vs $56.40 with UPMC Health Plan — 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 | $9.31 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $16.18 | ↓ -61% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.00 | ↓ -55% |
| UPMC Health Plan | Managed Medicaid | $20.90 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $21.67 | ↓ -48% |
| United Healthcare Community Plan for Families | Unison Kids | $21.85 | ↓ -48% |
| United Healthcare | Compass Exchange | $23.10 | ↓ -45% |
| Aetna | Neighborhood Network | $24.57 | ↓ -42% |
| Geisinger | Medicaid/CHIP | $26.41 | ↓ -37% |
| Aetna | EBR FI | $26.60 | ↓ -37% |
| Aetna | Home Depot Employer Group | $26.74 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $26.94 | ↓ -36% |
| Cigna | New Business ASO | $27.30 | ↓ -35% |
| Cigna | NBR ASO/FI | $27.30 | ↓ -35% |
| Aetna | NBR ASO/FI | $27.30 | ↓ -35% |
| United Healthcare | All Business | $27.30 | ↓ -35% |
| Aetna | EBR ASO | $28.00 | ↓ -33% |
| Cigna | EBR | $28.00 | ↓ -33% |
| Cigna | Commercial | $28.00 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.18 | ↓ -33% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.66 | ↓ -29% |
| PA Health & Wellness | PA Medicaid HMO | $32.38 | ↓ -23% |
| InterGroup | PPO | $35.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $36.08 | ↓ -14% |
| Highmark BCBS of PA | UPMC Emergent | $43.34 | ↑ +3% |
| UPMC Health Plan | Managed Medicare | $46.48 | ↑ +11% |
| UPMC Health Plan | CHIP | $46.48 | ↑ +11% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $47.35 | ↑ +13% |
| Aetna of PA | Medicare | $48.67 | ↑ +16% |
| United Healthcare | Unison Advantage Non Special Needs | $48.67 | ↑ +16% |
| Coventry/First Health | Commercial | $49.00 | ↑ +17% |
| United Healthcare | Medicare | $49.59 | ↑ +18% |
| Highmark Wholecare (prev Gateway) | Medicare | $50.05 | ↑ +19% |
| AmeriHealth Caritas | Medicare | $50.06 | ↑ +19% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $50.06 | ↑ +19% |
| Cigna | Medicare | $50.06 | ↑ +19% |
| Aetna | Medicare | $50.98 | ↑ +21% |
| United Healthcare | Unison Advantage Special Needs | $50.98 | ↑ +21% |
| Private Health Care Systems | PPO | $56.00 | ↑ +33% |
| UPMC Health Plan | Commercial | $56.40 | ↑ +34% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Screening hepatitis c antibody high risk at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $48.00 | $9.22 – $64.00 |
| UPMC Bedford | Everett | $66.60 | $16.72 – $99.90 |
| UPMC Carlisle | Carlisle | $108.00 | $19.00 – $153.00 |
| UPMC Community Osteopathic | Harrisburg | $108.00 | $19.00 – $153.00 |
| UPMC Hanover | Hanover | $108.00 | $19.00 – $74.16 |
| UPMC Lititz | Lititz | $108.00 | $19.00 – $74.16 |
| UPMC Magee | Pittsburgh | $44.40 | $9.31 – $50.06 |
| UPMC Memorial | York | $108.00 | $7.51 – $74.16 |