Augment injectable kit 3.0cc at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$8,923.80
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.
$14,873.00
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.
$2,825.87 with Health Partners Plans (Jefferson Health Plan) vs $16,657.76 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,825.87 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,272.06 | ↓ -63% |
| Aetna | Medicare | $3,718.25 | ↓ -58% |
| UPMC Health Plan | CHIP | $4,004.06 | ↓ -55% |
| UPMC Health Plan | Commercial | $4,858.92 | ↓ -46% |
| PA Health & Wellness | PA Medicaid HMO | $4,908.09 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $4,908.09 | ↓ -45% |
| United Healthcare | Compass Exchange | $4,908.09 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,031.54 | ↓ -44% |
| Aetna | Neighborhood Network | $5,220.42 | ↓ -42% |
| Aetna | EBR FI | $5,651.74 | ↓ -37% |
| Aetna | Home Depot Employer Group | $5,681.49 | ↓ -36% |
| Cigna | NBR ASO/FI | $5,800.47 | ↓ -35% |
| Cigna | New Business ASO | $5,800.47 | ↓ -35% |
| Aetna | NBR ASO/FI | $5,800.47 | ↓ -35% |
| United Healthcare | All Business | $5,800.47 | ↓ -35% |
| Cigna | EBR | $5,949.20 | ↓ -33% |
| Aetna | EBR ASO | $5,949.20 | ↓ -33% |
| Cigna | Commercial | $5,949.20 | ↓ -33% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7,436.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,436.50 | ↓ -17% |
| InterGroup | PPO | $7,436.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $8,328.88 | ↓ -7% |
| Highmark BCBS of PA | Managed Care - Social Mission | $8,328.88 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $8,477.61 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,477.61 | ↓ -5% |
| Coventry/First Health | Commercial | $10,411.10 | ↑ +17% |
| Private Health Care Systems | PPO | $11,898.40 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $16,657.76 | ↑ +87% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Augment injectable kit 3.0cc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,430.00 | $509.39 – $4,004.06 |
| UPMC Cole | Coudersport | $3,492.00 | $1,105.80 – $4,656.00 |
| UPMC Northwest | Seneca | $7,492.80 | $4,845.27 – $4,845.27 |
| UPMC Mercy | Pittsburgh | $1,686.60 | $3,161.77 – $3,161.77 |
| UPMC Muncy | Muncy | $8,028.60 | $2,007.15 – $12,042.90 |
| UPMC Passavant-McCandless | Pittsburgh | $1,686.00 | $5,810.39 – $5,810.39 |
| UPMC Presbyterian | Pittsburgh | $12,612.00 | $6,473.84 – $6,473.84 |
| UPMC St. Margaret | Pittsburgh | $8,418.60 | $4,913.26 – $4,913.26 |