Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,051.20
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.
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What you pay up front if you don't use insurance.
$1,752.00
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.
$76.89 with UPMC Health Plan vs $937.60 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 Health Plan | Commercial | $76.89 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $161.77 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $162.04 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $164.40 | ↓ -84% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $167.50 | ↓ -84% |
| Aetna of PA | Medicare | $172.16 | ↓ -84% |
| United Healthcare | Unison Advantage Non Special Needs | $172.16 | ↓ -84% |
| United Healthcare | Medicare | $175.44 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $177.06 | ↓ -83% |
| Cigna | Medicare | $177.08 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $177.08 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $177.08 | ↓ -83% |
| Aetna | Medicare | $180.36 | ↓ -83% |
| United Healthcare | Unison Advantage Special Needs | $180.36 | ↓ -83% |
| UPMC Health Plan | CHIP | $279.50 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $281.22 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $376.63 | ↓ -64% |
| United Healthcare | Compass Exchange | $386.76 | ↓ -63% |
| Aetna | Neighborhood Network | $411.37 | ↓ -61% |
| Aetna | EBR FI | $445.36 | ↓ -58% |
| Aetna | Home Depot Employer Group | $447.70 | ↓ -57% |
| United Healthcare | All Business | $457.08 | ↓ -57% |
| Cigna | New Business ASO | $457.08 | ↓ -57% |
| Aetna | NBR ASO/FI | $457.08 | ↓ -57% |
| Cigna | NBR ASO/FI | $457.08 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $468.22 | ↓ -55% |
| Cigna | Commercial | $468.80 | ↓ -55% |
| Cigna | EBR | $468.80 | ↓ -55% |
| Aetna | EBR ASO | $468.80 | ↓ -55% |
| InterGroup | PPO | $586.00 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity | $627.08 | ↓ -40% |
| Geisinger | Medicaid/CHIP | $644.60 | ↓ -39% |
| PA Health & Wellness | PA Medicaid HMO | $644.60 | ↓ -39% |
| Highmark BCBS of PA | UPMC Emergent | $753.25 | ↓ -28% |
| Coventry/First Health | Commercial | $820.40 | ↓ -22% |
| Private Health Care Systems | PPO | $937.60 | ↓ -11% |
Visitor-reported prices
Comments
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $964.80 | $112.50 – $180.00 |
| UPMC Bedford | Everett | $703.20 | $59.16 – $1,054.80 |
| UPMC Carlisle | Carlisle | $947.40 | $90.18 – $1,342.15 |
| UPMC Cole | Coudersport | $752.40 | $53.00 – $1,003.20 |
| UPMC Community Osteopathic | Harrisburg | $947.40 | $131.03 – $1,342.15 |
| UPMC Hamot | Erie | $1,068.00 | $139.57 – $177.08 |
| UPMC Northwest | Seneca | $1,051.20 | $77.60 – $177.08 |
| UPMC Hanover | Hanover | $947.40 | $113.99 – $279.50 |