Ablate bone tumor(s) perq at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$39,336.00
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.
$65,560.00
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.
$7,492.09 with UPMC Work Partners vs $52,448.00 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 Work Partners | Workers Comp | $7,492.09 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7,692.09 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $12,300.09 | ↓ -69% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $12,531.94 | ↓ -68% |
| Aetna of PA | Medicare | $12,880.32 | ↓ -67% |
| United Healthcare | Unison Advantage Non Special Needs | $12,880.32 | ↓ -67% |
| United Healthcare | Medicare | $13,125.66 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,247.10 | ↓ -66% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13,248.33 | ↓ -66% |
| Cigna | Medicare | $13,248.33 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $13,248.33 | ↓ -66% |
| United Healthcare | Unison Advantage Special Needs | $13,493.67 | ↓ -66% |
| Aetna | Medicare | $13,493.67 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $17,126.74 | ↓ -56% |
| United Healthcare | Compass Exchange | $21,634.80 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $22,263.41 | ↓ -43% |
| UPMC Health Plan | CHIP | $22,480.14 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $22,936.91 | ↓ -42% |
| Aetna | Neighborhood Network | $23,011.56 | ↓ -42% |
| Aetna | EBR FI | $24,912.80 | ↓ -37% |
| Aetna | Home Depot Employer Group | $25,043.92 | ↓ -36% |
| Cigna | NBR ASO/FI | $25,568.40 | ↓ -35% |
| United Healthcare | All Business | $25,568.40 | ↓ -35% |
| Aetna | NBR ASO/FI | $25,568.40 | ↓ -35% |
| Cigna | New Business ASO | $25,568.40 | ↓ -35% |
| Cigna | EBR | $26,224.00 | ↓ -33% |
| Aetna | EBR ASO | $26,224.00 | ↓ -33% |
| Cigna | Commercial | $26,224.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $29,816.95 | ↓ -24% |
| UPMC Health Plan | Commercial | $32,157.18 | ↓ -18% |
| InterGroup | PPO | $32,780.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $36,058.00 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $36,058.00 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $45,873.81 | ↑ +17% |
| Coventry/First Health | Commercial | $45,892.00 | ↑ +17% |
| Private Health Care Systems | PPO | $52,448.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ablate bone tumor(s) perq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $12,743.40 | $1,016.56 – $19,693.86 |
| UPMC Community Osteopathic | Harrisburg | $12,743.40 | $1,016.56 – $22,480.14 |
| UPMC Hamot | Erie | $42,856.80 | $7,492.09 – $15,290.23 |
| UPMC Hanover | Hanover | $12,743.40 | $1,016.56 – $22,480.14 |
| UPMC Lititz | Lititz | $12,743.40 | $1,016.56 – $22,480.14 |
| UPMC Memorial | York | $12,743.40 | $1,016.56 – $22,480.14 |
| UPMC Presbyterian | Pittsburgh | $41,445.60 | $931.20 – $13,493.67 |
| UPMC Somerset | Somerset | $12,743.40 | $892.40 – $13,247.10 |