Trg gene rearrangement anal at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,114.20
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.
?
What you pay up front if you don't use insurance.
$1,857.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$172.26 with United Healthcare vs $1,197.37 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $172.26 | ↓ -85% |
| Aetna | Neighborhood Network | $183.22 | ↓ -84% |
| Aetna | EBR FI | $198.36 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $199.14 | ↓ -82% |
| Aetna | Home Depot Employer Group | $199.40 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $202.04 | ↓ -82% |
| Cigna | New Business ASO | $203.58 | ↓ -82% |
| Aetna | NBR ASO/FI | $203.58 | ↓ -82% |
| United Healthcare | All Business | $203.58 | ↓ -82% |
| Cigna | NBR ASO/FI | $203.58 | ↓ -82% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $205.85 | ↓ -82% |
| Aetna | EBR ASO | $208.80 | ↓ -81% |
| Cigna | Commercial | $208.80 | ↓ -81% |
| Cigna | EBR | $208.80 | ↓ -81% |
| Aetna of PA | Medicare | $211.57 | ↓ -81% |
| United Healthcare | Unison Advantage Non Special Needs | $211.57 | ↓ -81% |
| United Healthcare | Medicare | $215.60 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $217.60 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $217.62 | ↓ -80% |
| Cigna | Medicare | $217.62 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $217.62 | ↓ -80% |
| Aetna | Medicare | $221.65 | ↓ -80% |
| United Healthcare | Unison Advantage Special Needs | $221.65 | ↓ -80% |
| UPMC Health Plan | Commercial | $252.72 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $257.16 | ↓ -77% |
| InterGroup | PPO | $261.00 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $287.10 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $287.10 | ↓ -74% |
| Coventry/First Health | Commercial | $365.40 | ↓ -67% |
| Private Health Care Systems | PPO | $417.60 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $447.02 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $598.69 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $744.29 | ↓ -33% |
| UPMC Health Plan | CHIP | $918.68 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Indemnity | $996.82 | ↓ -11% |
| Highmark BCBS of PA | UPMC Emergent | $1,197.37 | ↑ +7% |
Visitor-reported prices
Comments
Trg gene rearrangement anal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $950.40 | $199.14 – $405.60 |
| UPMC Bedford | Everett | $1,114.20 | $72.70 – $965.70 |
| UPMC Cole | Coudersport | $908.40 | $53.00 – $1,211.20 |
| UPMC Hamot | Erie | $1,148.40 | $199.14 – $254.73 |
| UPMC Northwest | Seneca | $1,051.20 | $182.74 – $217.62 |
| UPMC Horizon-Greenville | Greenville | $1,114.20 | $180.40 – $378.11 |
| UPMC Jameson | New Castle | $1,114.80 | $141.36 – $259.22 |
| UPMC Magee | Pittsburgh | $1,114.80 | $188.58 – $257.16 |