Bra surgical elizabeth pink sm at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$74.40
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.
$124.00
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.
$23.56 with Health Partners Plans (Jefferson Health Plan) vs $366.89 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 | $23.56 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.28 | ↓ -63% |
| Aetna | Medicare | $31.00 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $40.92 | ↓ -45% |
| United Healthcare | Compass Exchange | $40.92 | ↓ -45% |
| Aetna | Neighborhood Network | $43.52 | ↓ -42% |
| Aetna | EBR FI | $47.12 | ↓ -37% |
| Aetna | Home Depot Employer Group | $47.37 | ↓ -36% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $47.57 | ↓ -36% |
| United Healthcare | All Business | $48.36 | ↓ -35% |
| Cigna | NBR ASO/FI | $48.36 | ↓ -35% |
| Cigna | New Business ASO | $48.36 | ↓ -35% |
| Aetna | NBR ASO/FI | $48.36 | ↓ -35% |
| Aetna | EBR ASO | $49.60 | ↓ -33% |
| Cigna | EBR | $49.60 | ↓ -33% |
| Cigna | Commercial | $49.60 | ↓ -33% |
| InterGroup | PPO | $62.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $62.00 | ↓ -17% |
| UPMC Work Partners | Workers Comp | $67.28 | ↓ -10% |
| PA Health & Wellness | PA Medicaid HMO | $68.20 | ↓ -8% |
| Coventry/First Health | Commercial | $86.80 | ↑ +17% |
| Private Health Care Systems | PPO | $99.20 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $136.98 | ↑ +84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $137.68 | ↑ +85% |
| UPMC Health Plan | CHIP | $175.45 | ↑ +136% |
| Highmark BCBS of PA | Managed Care | $183.44 | ↑ +147% |
| Highmark BCBS of PA | Commercial - Indemnity | $184.39 | ↑ +148% |
| UPMC Health Plan | Commercial | $212.91 | ↑ +186% |
| Highmark BCBS of PA | UPMC Emergent | $366.89 | ↑ +393% |
Visitor-reported prices
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Bra surgical elizabeth pink sm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $172.20 | $47.12 – $229.60 |
| UPMC Hamot | Erie | $104.40 | $47.12 – $67.28 |
| UPMC Northwest | Seneca | $55.20 | $67.28 – $212.31 |
| UPMC Jameson | New Castle | $55.20 | $21.49 – $175.45 |
| UPMC Magee | Pittsburgh | $96.00 | $23.64 – $175.45 |
| UPMC Mercy | Pittsburgh | $55.20 | $47.12 – $138.54 |
| UPMC Muncy | Muncy | $148.80 | $35.84 – $71.97 |
| UPMC Passavant-McCandless | Pittsburgh | $55.20 | $47.57 – $254.60 |