Bundle his recording at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,208.40
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.
$2,014.00
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.
$133.65 with UPMC Health Plan vs $7,957.77 with Aetna — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $133.65 | ↓ -89% |
| United Healthcare Community Plan for Families | Unison Kids | $139.72 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $168.87 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $180.18 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $183.22 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $189.67 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $201.37 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $207.06 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $525.98 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $582.82 | ↓ -52% |
| UPMC Health Plan | CHIP | $625.80 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $662.66 | ↓ -45% |
| United Healthcare | Compass Exchange | $664.62 | ↓ -45% |
| Highmark BCBS of PA | Managed Care | $704.45 | ↓ -42% |
| Aetna | Neighborhood Network | $706.91 | ↓ -42% |
| UPMC Health Plan | Commercial | $759.41 | ↓ -37% |
| Aetna | EBR FI | $765.32 | ↓ -37% |
| Aetna | Home Depot Employer Group | $769.35 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Indemnity | $780.56 | ↓ -35% |
| Aetna | NBR ASO/FI | $785.46 | ↓ -35% |
| Cigna | New Business ASO | $785.46 | ↓ -35% |
| United Healthcare | All Business | $785.46 | ↓ -35% |
| Cigna | NBR ASO/FI | $785.46 | ↓ -35% |
| Cigna | EBR | $805.60 | ↓ -33% |
| Cigna | Commercial | $805.60 | ↓ -33% |
| Aetna | EBR ASO | $805.60 | ↓ -33% |
| InterGroup | PPO | $1,007.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,408.89 | ↑ +17% |
| Coventry/First Health | Commercial | $1,409.80 | ↑ +17% |
| Private Health Care Systems | PPO | $1,611.20 | ↑ +33% |
| UPMC Health Plan | Managed Medicare | $7,253.87 | ↑ +500% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $7,390.60 | ↑ +512% |
| United Healthcare | Unison Advantage Non Special Needs | $7,596.06 | ↑ +529% |
| Aetna of PA | Medicare | $7,596.06 | ↑ +529% |
| United Healthcare | Medicare | $7,740.74 | ↑ +541% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,812.36 | ↑ +547% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7,813.09 | ↑ +547% |
| Cigna | Medicare | $7,813.09 | ↑ +547% |
| AmeriHealth Caritas | Medicare | $7,813.09 | ↑ +547% |
| United Healthcare | Unison Advantage Special Needs | $7,957.77 | ↑ +559% |
| Aetna | Medicare | $7,957.77 | ↑ +559% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bundle his recording at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,164.60 | $121.50 – $1,552.80 |
| UPMC Carlisle | Carlisle | $16,796.40 | $154.31 – $23,794.90 |
| UPMC Hamot | Erie | $921.00 | $133.65 – $9,017.29 |
| UPMC Lititz | Lititz | $16,796.40 | $154.31 – $11,660.91 |
| UPMC Memorial | York | $16,796.40 | $154.31 – $11,641.97 |
| UPMC Passavant-McCandless | Pittsburgh | $6,244.80 | $133.65 – $7,957.77 |
| UPMC Presbyterian | Pittsburgh | $5,290.20 | $133.65 – $7,957.77 |