Brace wrist classic lft sm at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$51.00
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.
?
What you pay up front if you don't use insurance.
$85.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.12 with Health Partners Plans (Jefferson Health Plan) vs $620.88 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $9.12 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.56 | ↓ -79% |
| Aetna | Medicare | $12.00 | ↓ -76% |
| United Healthcare | Compass Exchange | $15.84 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $15.84 | ↓ -69% |
| Aetna | Neighborhood Network | $16.85 | ↓ -67% |
| Aetna | EBR FI | $18.24 | ↓ -64% |
| Aetna | Home Depot Employer Group | $18.34 | ↓ -64% |
| Cigna | New Business ASO | $18.72 | ↓ -63% |
| Cigna | NBR ASO/FI | $18.72 | ↓ -63% |
| Aetna | NBR ASO/FI | $18.72 | ↓ -63% |
| United Healthcare | All Business | $18.72 | ↓ -63% |
| Aetna | EBR ASO | $19.20 | ↓ -62% |
| Cigna | EBR | $19.20 | ↓ -62% |
| Cigna | Commercial | $19.20 | ↓ -62% |
| InterGroup | PPO | $24.00 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $24.00 | ↓ -53% |
| PA Health & Wellness | PA Medicaid HMO | $26.40 | ↓ -48% |
| Coventry/First Health | Commercial | $33.60 | ↓ -34% |
| Private Health Care Systems | PPO | $38.40 | ↓ -25% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $80.50 | ↑ +58% |
| UPMC Work Partners | Workers Comp | $113.83 | ↑ +123% |
| Highmark BCBS of PA | Managed Care - Social Mission | $231.81 | ↑ +355% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $233.00 | ↑ +357% |
| UPMC Health Plan | CHIP | $296.97 | ↑ +482% |
| Highmark BCBS of PA | Managed Care | $310.44 | ↑ +509% |
| Highmark BCBS of PA | Commercial - Indemnity | $312.05 | ↑ +512% |
| UPMC Health Plan | Commercial | $360.37 | ↑ +607% |
| Highmark BCBS of PA | UPMC Emergent | $620.88 | ↑ +1117% |
Visitor-reported prices
Comments
Brace wrist classic lft sm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $132.60 | $41.99 – $296.97 |
| UPMC Bedford | Everett | $223.20 | $70.68 – $334.80 |
| UPMC Carlisle | Carlisle | $75.00 | $17.12 – $119.12 |
| UPMC Cole | Coudersport | $283.80 | $89.87 – $378.40 |
| UPMC Community Osteopathic | Harrisburg | $75.00 | $25.00 – $419.75 |
| UPMC Hamot | Erie | $167.40 | $79.74 – $113.83 |
| UPMC Northwest | Seneca | $522.60 | $113.83 – $359.36 |
| UPMC Hanover | Hanover | $75.00 | $64.92 – $296.97 |