Sugars single quant at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$198.60
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.
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What you pay up front if you don't use insurance.
$331.00
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.
$11.39 with UPMC Work Partners vs $264.80 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 Work Partners | Workers Comp | $11.39 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $11.56 | ↓ -94% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $11.78 | ↓ -94% |
| Aetna of PA | Medicare | $12.11 | ↓ -94% |
| United Healthcare | Unison Advantage Non Special Needs | $12.11 | ↓ -94% |
| United Healthcare | Medicare | $12.34 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $12.45 | ↓ -94% |
| Cigna | Medicare | $12.45 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.45 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12.45 | ↓ -94% |
| Aetna | Medicare | $12.68 | ↓ -94% |
| United Healthcare | Unison Advantage Special Needs | $12.68 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $12.74 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $14.01 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $14.65 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $17.71 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.89 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $19.89 | ↓ -90% |
| UPMC Health Plan | Commercial | $21.61 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $21.71 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $30.87 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $53.66 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $71.87 | ↓ -64% |
| UPMC Health Plan | CHIP | $78.57 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $89.34 | ↓ -55% |
| United Healthcare | Compass Exchange | $109.23 | ↓ -45% |
| Aetna | Neighborhood Network | $116.18 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $119.66 | ↓ -40% |
| Aetna | EBR FI | $125.78 | ↓ -37% |
| Aetna | Home Depot Employer Group | $126.44 | ↓ -36% |
| Cigna | NBR ASO/FI | $129.09 | ↓ -35% |
| Aetna | NBR ASO/FI | $129.09 | ↓ -35% |
| United Healthcare | All Business | $129.09 | ↓ -35% |
| Cigna | New Business ASO | $129.09 | ↓ -35% |
| Cigna | EBR | $132.40 | ↓ -33% |
| Aetna | EBR ASO | $132.40 | ↓ -33% |
| Cigna | Commercial | $132.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $143.73 | ↓ -28% |
| InterGroup | PPO | $165.50 | ↓ -17% |
| Coventry/First Health | Commercial | $231.70 | ↑ +17% |
| Private Health Care Systems | PPO | $264.80 | ↑ +33% |
Visitor-reported prices
Comments
Sugars single quant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $58.80 | $8.15 – $83.30 |
| UPMC Community Osteopathic | Harrisburg | $58.80 | $11.41 – $83.30 |
| UPMC Hamot | Erie | $111.60 | $11.39 – $30.58 |
| UPMC Northwest | Seneca | $104.40 | $10.46 – $14.65 |
| UPMC Hanover | Hanover | $58.80 | $8.15 – $18.45 |
| UPMC Lititz | Lititz | $58.80 | $8.15 – $18.45 |
| UPMC Magee | Pittsburgh | $114.60 | $10.79 – $30.87 |
| UPMC McKeesport | Mckeesport | $106.20 | $10.69 – $30.87 |