Boot j walker l at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,501.20
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.
$2,502.00
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.
$233.77 with Highmark BCBS of PA vs $2,001.60 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 | $233.77 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $241.75 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $475.38 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $550.44 | ↓ -63% |
| Aetna | Medicare | $625.50 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $673.17 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $676.62 | ↓ -55% |
| UPMC Health Plan | CHIP | $746.54 | ↓ -50% |
| United Healthcare | Compass Exchange | $825.66 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $825.66 | ↓ -45% |
| Aetna | Neighborhood Network | $878.20 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $901.51 | ↓ -40% |
| UPMC Health Plan | Commercial | $905.92 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $906.18 | ↓ -40% |
| Aetna | EBR FI | $950.76 | ↓ -37% |
| Aetna | Home Depot Employer Group | $955.76 | ↓ -36% |
| Cigna | New Business ASO | $975.78 | ↓ -35% |
| Cigna | NBR ASO/FI | $975.78 | ↓ -35% |
| Aetna | NBR ASO/FI | $975.78 | ↓ -35% |
| United Healthcare | All Business | $975.78 | ↓ -35% |
| Cigna | EBR | $1,000.80 | ↓ -33% |
| Cigna | Commercial | $1,000.80 | ↓ -33% |
| Aetna | EBR ASO | $1,000.80 | ↓ -33% |
| InterGroup | PPO | $1,251.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,251.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $1,376.10 | ↓ -8% |
| Coventry/First Health | Commercial | $1,751.40 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,803.02 | ↑ +20% |
| Private Health Care Systems | PPO | $2,001.60 | ↑ +33% |
Visitor-reported prices
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Boot j walker l at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,652.40 | $231.57 – $2,203.20 |
| UPMC Bedford | Everett | $1,594.20 | $241.75 – $2,391.30 |
| UPMC Hamot | Erie | $1,356.00 | $231.57 – $241.75 |
| UPMC Northwest | Seneca | $1,516.20 | $241.75 – $903.38 |
| UPMC Horizon-Greenville | Greenville | $1,456.80 | $241.75 – $746.54 |
| UPMC Jameson | New Castle | $1,456.80 | $89.79 – $746.54 |
| UPMC Magee | Pittsburgh | $846.00 | $98.77 – $746.54 |
| UPMC McKeesport | Mckeesport | $1,975.20 | $98.77 – $746.54 |