Bln 30frx10mmx12cm renal nephromax at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,377.60
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.
$2,296.00
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.
$65.25 with Aetna vs $1,540.09 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $65.25 | ↓ -95% |
| United Healthcare | Compass Exchange | $86.13 | ↓ -94% |
| Aetna | Neighborhood Network | $91.61 | ↓ -93% |
| Aetna | EBR FI | $99.18 | ↓ -93% |
| Aetna | Home Depot Employer Group | $99.70 | ↓ -93% |
| Aetna | NBR ASO/FI | $101.79 | ↓ -93% |
| Cigna | NBR ASO/FI | $101.79 | ↓ -93% |
| Cigna | New Business ASO | $101.79 | ↓ -93% |
| United Healthcare | All Business | $101.79 | ↓ -93% |
| Cigna | EBR | $104.40 | ↓ -92% |
| Aetna | EBR ASO | $104.40 | ↓ -92% |
| Cigna | Commercial | $104.40 | ↓ -92% |
| InterGroup | PPO | $130.50 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $130.50 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $130.50 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $143.55 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $143.55 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $146.16 | ↓ -89% |
| Highmark BCBS of PA | Managed Care | $146.16 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity | $148.77 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $148.77 | ↓ -89% |
| Coventry/First Health | Commercial | $182.70 | ↓ -87% |
| Private Health Care Systems | PPO | $208.80 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $230.28 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $266.64 | ↓ -81% |
| Highmark BCBS of PA | UPMC Emergent | $292.32 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $410.02 | ↓ -70% |
| UPMC Health Plan | CHIP | $1,269.13 | ↓ -8% |
| UPMC Health Plan | Commercial | $1,540.09 | ↑ +12% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Bln 30frx10mmx12cm renal nephromax at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,791.60 | $139.00 – $1,269.13 |
| UPMC Bedford | Everett | $5,428.20 | $80.25 – $1,269.13 |
| UPMC Cole | Coudersport | $304.20 | $140.54 – $405.60 |
| UPMC Community Osteopathic | Harrisburg | $661.80 | $187.80 – $1,269.13 |
| UPMC Northwest | Seneca | $752.40 | $1,535.76 – $1,535.76 |
| UPMC Horizon-Greenville | Greenville | $6,237.00 | $1,269.13 – $1,269.13 |
| UPMC Jameson | New Castle | $5,752.20 | $396.80 – $1,269.13 |
| UPMC Kane | Kane | $407.40 | $934.55 – $934.55 |