Artery x-rays spine at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$6,919.80
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.
$11,533.00
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.
$41.25 with UPMC Health Plan vs $9,226.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $41.25 | ↓ -99% |
| United Healthcare Community Plan for Families | Unison Kids | $43.12 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $52.12 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.61 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $56.55 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $58.54 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $63.91 | ↓ -99% |
| UPMC Health Plan | Commercial | $580.46 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $676.91 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $1,455.72 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,507.17 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,959.20 | ↓ -72% |
| Highmark BCBS of PA | Managed Care | $2,018.46 | ↓ -71% |
| UPMC Health Plan | CHIP | $2,110.08 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,623.91 | ↓ -62% |
| United Healthcare | Compass Exchange | $3,805.89 | ↓ -45% |
| Highmark BCBS of PA | UPMC Emergent | $4,036.93 | ↓ -42% |
| Aetna | Neighborhood Network | $4,048.08 | ↓ -42% |
| Aetna | EBR FI | $4,382.54 | ↓ -37% |
| Aetna | Home Depot Employer Group | $4,405.61 | ↓ -36% |
| United Healthcare | All Business | $4,497.87 | ↓ -35% |
| Cigna | NBR ASO/FI | $4,497.87 | ↓ -35% |
| Aetna | NBR ASO/FI | $4,497.87 | ↓ -35% |
| Cigna | New Business ASO | $4,497.87 | ↓ -35% |
| Cigna | EBR | $4,613.20 | ↓ -33% |
| Cigna | Commercial | $4,613.20 | ↓ -33% |
| Aetna | EBR ASO | $4,613.20 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $5,167.60 | ↓ -25% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5,265.01 | ↓ -24% |
| Aetna of PA | Medicare | $5,411.37 | ↓ -22% |
| United Healthcare | Unison Advantage Non Special Needs | $5,411.37 | ↓ -22% |
| United Healthcare | Medicare | $5,514.45 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,565.47 | ↓ -20% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,565.99 | ↓ -20% |
| Cigna | Medicare | $5,565.99 | ↓ -20% |
| AmeriHealth Caritas | Medicare | $5,565.99 | ↓ -20% |
| United Healthcare | Unison Advantage Special Needs | $5,669.06 | ↓ -18% |
| Aetna | Medicare | $5,669.06 | ↓ -18% |
| InterGroup | PPO | $5,766.50 | ↓ -17% |
| Coventry/First Health | Commercial | $8,073.10 | ↑ +17% |
| Private Health Care Systems | PPO | $9,226.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Artery x-rays spine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,640.60 | $22.50 – $3,520.80 |
| UPMC Carlisle | Carlisle | $9,796.20 | $29.48 – $13,877.95 |
| UPMC Community Osteopathic | Harrisburg | $9,796.20 | $29.48 – $13,877.95 |
| UPMC Hamot | Erie | $5,738.40 | $41.25 – $6,823.64 |
| UPMC Hanover | Hanover | $9,796.20 | $29.48 – $8,262.51 |
| UPMC Lititz | Lititz | $9,796.20 | $29.48 – $8,307.14 |
| UPMC Magee | Pittsburgh | $2,917.80 | $41.25 – $5,565.99 |
| UPMC Memorial | York | $9,796.20 | $29.48 – $8,293.65 |