Ablate bone tumor(s) cryo perq 20983 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$25,249.80
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.
$42,083.00
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.
$4,460.95 with Highmark BCBS of PA vs $33,666.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,460.95 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $6,829.08 | ↓ -73% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $6,957.80 | ↓ -72% |
| Aetna of PA | Medicare | $7,151.22 | ↓ -72% |
| United Healthcare | Unison Advantage Non Special Needs | $7,151.22 | ↓ -72% |
| United Healthcare | Medicare | $7,287.44 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,354.86 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7,355.55 | ↓ -71% |
| Cigna | Medicare | $7,355.55 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $7,355.55 | ↓ -71% |
| United Healthcare | Unison Advantage Special Needs | $7,491.76 | ↓ -70% |
| Aetna | Medicare | $7,491.76 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $9,022.57 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9,932.47 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $12,911.43 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $13,302.01 | ↓ -47% |
| United Healthcare | Compass Exchange | $13,887.39 | ↓ -45% |
| UPMC Health Plan | CHIP | $14,729.05 | ↓ -42% |
| Aetna | Neighborhood Network | $14,771.13 | ↓ -42% |
| Aetna | EBR FI | $15,991.54 | ↓ -37% |
| Aetna | Home Depot Employer Group | $16,075.71 | ↓ -36% |
| Cigna | NBR ASO/FI | $16,412.37 | ↓ -35% |
| United Healthcare | All Business | $16,412.37 | ↓ -35% |
| Aetna | NBR ASO/FI | $16,412.37 | ↓ -35% |
| Cigna | New Business ASO | $16,412.37 | ↓ -35% |
| Cigna | EBR | $16,833.20 | ↓ -33% |
| Aetna | EBR ASO | $16,833.20 | ↓ -33% |
| Cigna | Commercial | $16,833.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $17,292.02 | ↓ -32% |
| UPMC Health Plan | Commercial | $20,641.71 | ↓ -18% |
| InterGroup | PPO | $21,041.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $23,145.65 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $23,145.65 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $26,604.03 | ↑ +5% |
| Coventry/First Health | Commercial | $29,458.10 | ↑ +17% |
| Private Health Care Systems | PPO | $33,666.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ablate bone tumor(s) cryo perq 20983 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,135.00 | $3,758.61 – $25,691.25 |
| UPMC Community Osteopathic | Harrisburg | $18,135.00 | $2,684.00 – $25,691.25 |
| UPMC Hanover | Hanover | $18,135.00 | $5,285.75 – $10,919.06 |
| UPMC Lititz | Lititz | $18,135.00 | $5,285.75 – $10,978.03 |
| UPMC Memorial | York | $18,135.00 | $3,601.56 – $10,960.19 |
| UPMC Presbyterian | Pittsburgh | $41,445.60 | $4,460.95 – $12,219.80 |
| UPMC Somerset | Somerset | $18,135.00 | $4,374.18 – $9,022.57 |
| WellSpan Ephrata Community Hospital | Ephrata | $11,082.40 | $5,357.80 – $5,357.80 |