healthcosts.net
Abdominal Ultrasound (complete) at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,236.00
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.
?
What you pay up front if you don't use insurance.
$2,060.00
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.
$101.65 with UPMC Health Plan vs $1,648.00 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $101.65 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $103.57 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $104.80 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $106.45 | ↓ -91% |
| Aetna of PA | Medicare | $106.45 | ↓ -91% |
| United Healthcare | Medicare | $108.48 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -91% |
| Cigna | Medicare | $109.49 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $109.56 | ↓ -91% |
| Aetna | Medicare | $111.52 | ↓ -91% |
| United Healthcare | Unison Advantage Special Needs | $111.52 | ↓ -91% |
| UPMC Health Plan | Commercial | $114.47 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $132.42 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $135.78 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $141.29 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $143.67 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $148.73 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $162.36 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $295.27 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $302.33 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $393.00 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $404.89 | ↓ -67% |
| UPMC Health Plan | CHIP | $416.14 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Indemnity | $526.34 | ↓ -57% |
| United Healthcare | Compass Exchange | $679.80 | ↓ -45% |
| Aetna | Neighborhood Network | $723.06 | ↓ -42% |
| Aetna | EBR FI | $782.80 | ↓ -37% |
| Aetna | Home Depot Employer Group | $786.92 | ↓ -36% |
| Cigna | NBR ASO/FI | $803.40 | ↓ -35% |
| Aetna | NBR ASO/FI | $803.40 | ↓ -35% |
| Cigna | New Business ASO | $803.40 | ↓ -35% |
| United Healthcare | All Business | $803.40 | ↓ -35% |
| Highmark BCBS of PA | UPMC Emergent | $809.78 | ↓ -34% |
| Cigna | EBR | $824.00 | ↓ -33% |
| Cigna | Commercial | $824.00 | ↓ -33% |
| Aetna | EBR ASO | $824.00 | ↓ -33% |
| InterGroup | PPO | $1,030.00 | ↓ -17% |
| Coventry/First Health | Commercial | $1,442.00 | ↑ +17% |
| Private Health Care Systems | PPO | $1,648.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (complete) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,085.60 | $94.21 – $2,954.60 |
| UPMC Altoona | Altoona | $607.20 | $57.50 – $809.60 |
| UPMC Bedford | Everett | $658.20 | $36.58 – $987.30 |
| UPMC Cole | Coudersport | $439.20 | $100.03 – $585.60 |
| UPMC Hamot | Erie | $651.00 | $93.32 – $759.50 |
| UPMC Carlisle | Carlisle | $394.20 | $41.92 – $285.72 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $61.20 – $416.14 |
| UPMC Hanover | Hanover | $394.20 | $58.14 – $293.36 |