Assess cyst contrast inject at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,237.20
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.
$2,062.00
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.
$34.32 with UPMC Health Plan vs $1,780.71 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 | $34.32 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $35.88 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $43.36 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.27 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $47.05 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $48.71 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $53.17 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $108.52 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $298.59 | ↓ -76% |
| UPMC Health Plan | Commercial | $378.81 | ↓ -69% |
| Aetna | Medicare | $515.50 | ↓ -58% |
| UPMC Health Plan | CHIP | $663.10 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $664.82 | ↓ -46% |
| United Healthcare | Compass Exchange | $680.46 | ↓ -45% |
| Aetna | Neighborhood Network | $723.76 | ↓ -42% |
| Aetna | EBR FI | $783.56 | ↓ -37% |
| Aetna | Home Depot Employer Group | $787.68 | ↓ -36% |
| Cigna | NBR ASO/FI | $804.18 | ↓ -35% |
| United Healthcare | All Business | $804.18 | ↓ -35% |
| Aetna | NBR ASO/FI | $804.18 | ↓ -35% |
| Cigna | New Business ASO | $804.18 | ↓ -35% |
| Cigna | EBR | $824.80 | ↓ -33% |
| Aetna | EBR ASO | $824.80 | ↓ -33% |
| Cigna | Commercial | $824.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $864.21 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $890.36 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,031.00 | ↓ -17% |
| InterGroup | PPO | $1,031.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,157.42 | ↓ -6% |
| Coventry/First Health | Commercial | $1,443.40 | ↑ +17% |
| Private Health Care Systems | PPO | $1,649.60 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,780.71 | ↑ +44% |
Visitor-reported prices
Comments
Assess cyst contrast inject at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $640.20 | $31.20 – $853.60 |
| UPMC Carlisle | Carlisle | $1,304.40 | $39.62 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $1,304.40 | $42.12 – $1,847.90 |
| UPMC Hamot | Erie | $894.00 | $34.32 – $295.77 |
| UPMC Northwest | Seneca | $1,873.80 | $34.32 – $767.64 |
| UPMC Hanover | Hanover | $1,304.40 | $39.62 – $1,016.56 |
| UPMC Kane | Kane | $77.40 | $34.32 – $760.39 |
| UPMC Lititz | Lititz | $1,304.40 | $34.98 – $1,016.56 |