Target gsa panel organ/hmtlmph neop at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$7,632.00
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.
$12,720.00
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.
$1,869.20 with Highmark BCBS of PA vs $20,567.62 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 | $1,869.20 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,335.68 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $2,569.25 | ↓ -66% |
| United Healthcare Community Plan for Families | Unison Kids | $2,686.03 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $2,885.51 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $2,927.48 | ↓ -62% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,982.66 | ↓ -61% |
| United Healthcare | Unison Advantage Non Special Needs | $3,065.58 | ↓ -60% |
| Aetna of PA | Medicare | $3,065.58 | ↓ -60% |
| United Healthcare | Medicare | $3,123.97 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,152.88 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,153.17 | ↓ -59% |
| Cigna | Medicare | $3,153.17 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $3,153.17 | ↓ -59% |
| United Healthcare | Compass Exchange | $3,156.45 | ↓ -59% |
| United Healthcare | Unison Advantage Special Needs | $3,211.56 | ↓ -58% |
| Aetna | Medicare | $3,211.56 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $3,246.36 | ↓ -57% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,249.31 | ↓ -57% |
| Aetna | Neighborhood Network | $3,357.32 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,463.81 | ↓ -55% |
| Aetna | EBR FI | $3,634.70 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,646.23 | ↓ -52% |
| Aetna | Home Depot Employer Group | $3,653.83 | ↓ -52% |
| Aetna | NBR ASO/FI | $3,730.35 | ↓ -51% |
| Cigna | NBR ASO/FI | $3,730.35 | ↓ -51% |
| Cigna | New Business ASO | $3,730.35 | ↓ -51% |
| United Healthcare | All Business | $3,730.35 | ↓ -51% |
| Aetna | EBR ASO | $3,826.00 | ↓ -50% |
| Cigna | Commercial | $3,826.00 | ↓ -50% |
| Cigna | EBR | $3,826.00 | ↓ -50% |
| PA Health & Wellness | PA Medicaid HMO | $3,980.47 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $4,351.71 | ↓ -43% |
| InterGroup | PPO | $4,782.50 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,410.07 | ↓ -29% |
| Coventry/First Health | Commercial | $6,695.50 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,245.60 | ↓ -5% |
| Private Health Care Systems | PPO | $7,652.00 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $8,703.41 | ↑ +14% |
| UPMC Health Plan | Commercial | $9,589.29 | ↑ +26% |
| UPMC Health Plan | CHIP | $20,567.62 | ↑ +169% |
Visitor-reported prices
Comments
Target gsa panel organ/hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,581.80 | $1,851.57 – $7,228.00 |
| UPMC Bedford | Everett | $5,739.00 | $1,053.39 – $3,640.50 |
| UPMC Hamot | Erie | $7,632.00 | $1,851.57 – $3,246.36 |
| UPMC Northwest | Seneca | $5,739.00 | $2,569.25 – $3,153.17 |
| UPMC Horizon-Greenville | Greenville | $5,739.00 | $2,335.68 – $3,246.36 |
| UPMC Jameson | New Castle | $5,739.00 | $1,884.24 – $3,153.17 |
| UPMC Magee | Pittsburgh | $9,920.40 | $1,869.20 – $3,980.47 |
| UPMC McKeesport | Mckeesport | $5,739.00 | $1,869.20 – $3,211.56 |