Brace ank air stirrup univ at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$126.60
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.
$211.00
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.
$40.09 with Health Partners Plans (Jefferson Health Plan) vs $944.06 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 | $40.09 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.42 | ↓ -63% |
| Aetna | Medicare | $52.75 | ↓ -58% |
| United Healthcare | Compass Exchange | $69.63 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $69.63 | ↓ -45% |
| Aetna | Neighborhood Network | $74.06 | ↓ -42% |
| Aetna | EBR FI | $80.18 | ↓ -37% |
| Aetna | Home Depot Employer Group | $80.60 | ↓ -36% |
| Cigna | New Business ASO | $82.29 | ↓ -35% |
| Cigna | NBR ASO/FI | $82.29 | ↓ -35% |
| Aetna | NBR ASO/FI | $82.29 | ↓ -35% |
| United Healthcare | All Business | $82.29 | ↓ -35% |
| Aetna | EBR ASO | $84.40 | ↓ -33% |
| Cigna | EBR | $84.40 | ↓ -33% |
| Cigna | Commercial | $84.40 | ↓ -33% |
| InterGroup | PPO | $105.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $105.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $116.05 | ↓ -8% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $122.40 | ↓ -3% |
| Coventry/First Health | Commercial | $147.70 | ↑ +17% |
| Private Health Care Systems | PPO | $168.80 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $173.07 | ↑ +37% |
| UPMC Health Plan | CHIP | $253.74 | ↑ +100% |
| UPMC Health Plan | Commercial | $307.91 | ↑ +143% |
| Highmark BCBS of PA | Managed Care - Social Mission | $352.47 | ↑ +178% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $354.28 | ↑ +180% |
| Highmark BCBS of PA | Managed Care | $472.03 | ↑ +273% |
| Highmark BCBS of PA | Commercial - Indemnity | $474.48 | ↑ +275% |
| Highmark BCBS of PA | UPMC Emergent | $944.06 | ↑ +646% |
Visitor-reported prices
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Brace ank air stirrup univ at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $272.40 | $86.26 – $363.20 |
| UPMC Bedford | Everett | $302.40 | $95.76 – $453.60 |
| UPMC Cole | Coudersport | $232.80 | $73.72 – $310.40 |
| UPMC Hamot | Erie | $345.60 | $121.25 – $173.07 |
| UPMC Northwest | Seneca | $249.60 | $173.07 – $314.69 |
| UPMC Horizon-Greenville | Greenville | $302.40 | $173.07 – $309.01 |
| UPMC Jameson | New Castle | $83.40 | $54.31 – $253.74 |
| UPMC Magee | Pittsburgh | $301.20 | $59.74 – $253.74 |