Budesonide non-comp unit at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$729.60
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.
$912.00
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.
$0.76 with Health Partners Plans (Jefferson Health Plan) vs $1,703.01 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 | $0.76 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $0.79 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $0.85 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison Kids | $0.87 | ↓ -100% |
| UPMC Health Plan | CHIP | $1.17 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $1.35 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.35 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $1.35 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.35 | ↓ -100% |
| United Healthcare | All Business | $1.41 | ↓ -100% |
| United Healthcare | Compass Exchange | $1.41 | ↓ -100% |
| UPMC Health Plan | Commercial | $1.66 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $109.08 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $220.81 | ↓ -70% |
| Aetna | Medicare | $228.00 | ↓ -69% |
| Aetna | Neighborhood Network | $320.11 | ↓ -56% |
| Aetna | EBR FI | $346.56 | ↓ -53% |
| Aetna | Home Depot Employer Group | $348.38 | ↓ -52% |
| Cigna | New Business ASO | $355.68 | ↓ -51% |
| Cigna | NBR ASO/FI | $355.68 | ↓ -51% |
| Aetna | NBR ASO/FI | $355.68 | ↓ -51% |
| Cigna | EBR | $364.80 | ↓ -50% |
| Aetna | EBR ASO | $364.80 | ↓ -50% |
| Cigna | Commercial | $364.80 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $456.00 | ↓ -38% |
| InterGroup | PPO | $456.00 | ↓ -38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $635.83 | ↓ -13% |
| Coventry/First Health | Commercial | $638.40 | ↓ -13% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $639.09 | ↓ -12% |
| Private Health Care Systems | PPO | $729.60 | ↑ +0% |
| Highmark BCBS of PA | Managed Care | $851.51 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $855.92 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,703.01 | ↑ +133% |
Visitor-reported prices
Comments
Budesonide non-comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2.40 | $0.27 – $1.70 |
| UPMC Community Osteopathic | Harrisburg | $2.40 | $0.40 – $364.19 |
| UPMC Hanover | Hanover | $2.40 | $0.76 – $1.49 |
| UPMC Lititz | Lititz | $2.40 | $0.76 – $1.49 |
| UPMC Memorial | York | $2.40 | $0.76 – $178.27 |
| UPMC Somerset | Somerset | $2.40 | $1.17 – $216.51 |