healthcosts.net
Abdominal Ultrasound (limited) at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$897.00
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.
$1,495.00
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.
$68.75 with UPMC Health Plan vs $1,196.00 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 | Managed Medicaid | $68.75 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $71.88 | ↓ -92% |
| UPMC Health Plan | Commercial | $82.32 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $86.87 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $92.69 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $94.25 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $97.57 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $98.46 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $101.65 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $103.57 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $106.45 | ↓ -88% |
| Aetna of PA | Medicare | $106.45 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $106.51 | ↓ -88% |
| United Healthcare | Medicare | $108.48 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -88% |
| Cigna | Medicare | $109.49 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↓ -88% |
| Aetna | Medicare | $111.52 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $111.52 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $219.22 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $219.23 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $284.98 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $293.60 | ↓ -67% |
| UPMC Health Plan | CHIP | $299.26 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity | $381.66 | ↓ -57% |
| United Healthcare | Compass Exchange | $493.35 | ↓ -45% |
| Aetna | Neighborhood Network | $524.75 | ↓ -41% |
| Aetna | EBR FI | $568.10 | ↓ -37% |
| Aetna | Home Depot Employer Group | $571.09 | ↓ -36% |
| Cigna | NBR ASO/FI | $583.05 | ↓ -35% |
| Aetna | NBR ASO/FI | $583.05 | ↓ -35% |
| Cigna | New Business ASO | $583.05 | ↓ -35% |
| United Healthcare | All Business | $583.05 | ↓ -35% |
| Highmark BCBS of PA | UPMC Emergent | $587.19 | ↓ -35% |
| Cigna | EBR | $598.00 | ↓ -33% |
| Cigna | Commercial | $598.00 | ↓ -33% |
| Aetna | EBR ASO | $598.00 | ↓ -33% |
| InterGroup | PPO | $747.50 | ↓ -17% |
| Coventry/First Health | Commercial | $1,046.50 | ↑ +17% |
| Private Health Care Systems | PPO | $1,196.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (limited) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,039.80 | $68.75 – $1,473.05 |
| UPMC Hamot | Erie | $475.80 | $68.13 – $555.10 |
| UPMC Kane | Kane | $301.80 | $23.45 – $198.49 |
| UPMC Carlisle | Carlisle | $394.20 | $30.69 – $207.72 |
| UPMC Altoona | Altoona | $415.80 | $37.50 – $554.40 |
| UPMC Bedford | Everett | $291.00 | $36.58 – $436.50 |
| UPMC Cole | Coudersport | $280.80 | $65.62 – $374.40 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $44.80 – $299.26 |