Bone marrow biopsyneedle/trocar 38221 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,484.40
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.
$2,474.00
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.
$76.80 with UPMC Health Plan vs $2,131.66 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 | $76.80 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $80.29 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $97.04 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $103.54 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $105.29 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $109.00 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $118.99 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $357.44 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $414.76 | ↓ -72% |
| UPMC Health Plan | CHIP | $423.36 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $795.84 | ↓ -46% |
| United Healthcare | Compass Exchange | $816.42 | ↓ -45% |
| Aetna | Neighborhood Network | $868.37 | ↓ -42% |
| Aetna | EBR FI | $940.12 | ↓ -37% |
| Aetna | Home Depot Employer Group | $945.07 | ↓ -36% |
| Cigna | NBR ASO/FI | $964.86 | ↓ -35% |
| United Healthcare | All Business | $964.86 | ↓ -35% |
| Aetna | NBR ASO/FI | $964.86 | ↓ -35% |
| Cigna | New Business ASO | $964.86 | ↓ -35% |
| Cigna | Commercial | $989.60 | ↓ -33% |
| Cigna | EBR | $989.60 | ↓ -33% |
| Aetna | EBR ASO | $989.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,034.53 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $1,065.83 | ↓ -28% |
| UPMC Health Plan | Commercial | $1,213.50 | ↓ -18% |
| InterGroup | PPO | $1,237.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,385.53 | ↓ -7% |
| UPMC Health Plan | Managed Medicare | $1,548.87 | ↑ +4% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,578.07 | ↑ +6% |
| United Healthcare | Unison Advantage Non Special Needs | $1,621.93 | ↑ +9% |
| Aetna of PA | Medicare | $1,621.93 | ↑ +9% |
| United Healthcare | Medicare | $1,652.83 | ↑ +11% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,668.12 | ↑ +12% |
| AmeriHealth Caritas | Medicare | $1,668.28 | ↑ +12% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,668.28 | ↑ +12% |
| Cigna | Medicare | $1,668.28 | ↑ +12% |
| Aetna | Medicare | $1,699.17 | ↑ +14% |
| United Healthcare | Unison Advantage Special Needs | $1,699.17 | ↑ +14% |
| Coventry/First Health | Commercial | $1,731.80 | ↑ +17% |
| Private Health Care Systems | PPO | $1,979.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $2,131.66 | ↑ +44% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bone marrow biopsyneedle/trocar 38221 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $969.00 | $69.82 – $1,292.00 |
| UPMC Carlisle | Carlisle | $2,080.80 | $88.67 – $2,947.80 |
| UPMC Cole | Coudersport | $207.00 | $42.41 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,080.80 | $91.46 – $2,947.80 |
| UPMC Hamot | Erie | $2,017.80 | $76.80 – $2,246.66 |
| UPMC Northwest | Seneca | $1,237.20 | $76.80 – $1,621.93 |
| UPMC Hanover | Hanover | $2,080.80 | $88.67 – $2,476.51 |
| UPMC Horizon-Greenville | Greenville | $924.60 | $76.80 – $1,668.28 |