Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$24,271.80
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.
$40,453.00
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.
$4,746.19 with Highmark BCBS of PA vs $32,362.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,746.19 | ↓ -80% |
| UPMC Health Plan | Commercial | $6,531.35 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $6,829.08 | ↓ -72% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $6,957.80 | ↓ -71% |
| Aetna of PA | Medicare | $7,151.22 | ↓ -71% |
| United Healthcare | Unison Advantage Non Special Needs | $7,151.22 | ↓ -71% |
| United Healthcare | Medicare | $7,287.44 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,354.86 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7,355.55 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $7,355.55 | ↓ -70% |
| Cigna | Medicare | $7,355.55 | ↓ -70% |
| Aetna | Medicare | $7,491.76 | ↓ -69% |
| United Healthcare | Unison Advantage Special Needs | $7,491.76 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $9,494.01 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10,567.58 | ↓ -56% |
| UPMC Health Plan | CHIP | $11,433.07 | ↓ -53% |
| United Healthcare | Compass Exchange | $13,349.49 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $13,737.03 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $14,152.59 | ↓ -42% |
| Aetna | Neighborhood Network | $14,199.00 | ↓ -42% |
| Aetna | EBR FI | $15,372.14 | ↓ -37% |
| Aetna | Home Depot Employer Group | $15,453.05 | ↓ -36% |
| Cigna | NBR ASO/FI | $15,776.67 | ↓ -35% |
| United Healthcare | All Business | $15,776.67 | ↓ -35% |
| Aetna | NBR ASO/FI | $15,776.67 | ↓ -35% |
| Cigna | New Business ASO | $15,776.67 | ↓ -35% |
| Cigna | EBR | $16,181.20 | ↓ -33% |
| Aetna | EBR ASO | $16,181.20 | ↓ -33% |
| Cigna | Commercial | $16,181.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $18,397.73 | ↓ -24% |
| InterGroup | PPO | $20,226.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $22,249.15 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $22,249.15 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $28,305.17 | ↑ +17% |
| Coventry/First Health | Commercial | $28,317.10 | ↑ +17% |
| Private Health Care Systems | PPO | $32,362.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,234.20 | $4,701.43 – $13,645.60 |
| UPMC Carlisle | Carlisle | $17,435.40 | $1,016.56 – $24,700.15 |
| UPMC Cole | Coudersport | $928.80 | $429.11 – $9,494.01 |
| UPMC Community Osteopathic | Harrisburg | $17,602.20 | $1,016.56 – $24,700.15 |
| UPMC Hamot | Erie | $17,721.00 | $4,701.43 – $9,905.66 |
| UPMC Hanover | Hanover | $17,435.40 | $1,016.56 – $11,433.07 |
| UPMC Lititz | Lititz | $17,435.40 | $1,016.56 – $11,433.07 |
| UPMC Memorial | York | $17,435.40 | $1,016.56 – $11,433.07 |