Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$799.20
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.
$1,332.00
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.
$67.85 with UPMC Health Plan vs $1,110.79 with Highmark BCBS of PA — 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 | $67.85 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $68.03 | ↓ -91% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $69.32 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $70.93 | ↓ -91% |
| Aetna of PA | Medicare | $71.24 | ↓ -91% |
| United Healthcare | Unison Advantage Non Special Needs | $71.24 | ↓ -91% |
| United Healthcare | Medicare | $72.60 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $73.27 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $73.28 | ↓ -91% |
| Cigna | Medicare | $73.28 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $73.28 | ↓ -91% |
| United Healthcare | Unison Advantage Special Needs | $74.64 | ↓ -91% |
| Aetna | Medicare | $74.64 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $85.73 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $91.47 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $93.01 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $96.29 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $105.12 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $128.83 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $144.02 | ↓ -82% |
| UPMC Health Plan | CHIP | $261.74 | ↓ -67% |
| UPMC Health Plan | Commercial | $317.63 | ↓ -60% |
| Highmark BCBS of PA | Managed Care - Social Mission | $414.72 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $416.84 | ↓ -48% |
| United Healthcare | Compass Exchange | $439.56 | ↓ -45% |
| Aetna | Neighborhood Network | $467.53 | ↓ -42% |
| Aetna | EBR FI | $506.16 | ↓ -37% |
| Aetna | Home Depot Employer Group | $508.82 | ↓ -36% |
| Cigna | NBR ASO/FI | $519.48 | ↓ -35% |
| Cigna | New Business ASO | $519.48 | ↓ -35% |
| Aetna | NBR ASO/FI | $519.48 | ↓ -35% |
| United Healthcare | All Business | $519.48 | ↓ -35% |
| Cigna | EBR | $532.80 | ↓ -33% |
| Aetna | EBR ASO | $532.80 | ↓ -33% |
| Cigna | Commercial | $532.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $555.39 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Indemnity | $558.27 | ↓ -30% |
| InterGroup | PPO | $666.00 | ↓ -17% |
| Coventry/First Health | Commercial | $932.40 | ↑ +17% |
| Private Health Care Systems | PPO | $1,065.60 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,110.79 | ↑ +39% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $402.00 | $61.68 – $536.00 |
| UPMC Carlisle | Carlisle | $197.40 | $45.07 – $279.65 |
| UPMC Cole | Coudersport | $271.80 | $64.76 – $362.40 |
| UPMC Community Osteopathic | Harrisburg | $197.40 | $65.80 – $279.65 |
| UPMC Hamot | Erie | $592.80 | $67.85 – $128.83 |
| UPMC Northwest | Seneca | $449.40 | $61.53 – $128.83 |
| UPMC Hanover | Hanover | $197.40 | $67.31 – $134.82 |
| UPMC Horizon-Greenville | Greenville | $568.20 | $60.75 – $128.83 |