Bx/exc lymph node/open/deep cervic 38510 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
not published by hospital
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.
not published by hospital
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.
$149.60 with UPMC Health Plan vs $4,393.81 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $149.60 | — |
| United Healthcare Community Plan for Families | Unison Kids | $156.40 | — |
| Geisinger | Medicaid/CHIP | $189.03 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $201.69 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $205.09 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $212.31 | — |
| PA Health & Wellness | PA Medicaid HMO | $231.77 | — |
| UPMC Work Partners | Workers Comp | $704.38 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,640.41 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,132.40 | — |
| Highmark BCBS of PA | Managed Care | $2,196.91 | — |
| UPMC Health Plan | CHIP | $2,299.14 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $2,855.88 | — |
| UPMC Health Plan | Managed Medicare | $3,660.62 | — |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,729.62 | — |
| United Healthcare | Unison Advantage Non Special Needs | $3,833.30 | — |
| Aetna of PA | Medicare | $3,833.30 | — |
| United Healthcare | Medicare | $3,906.31 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $3,942.46 | — |
| Cigna | Medicare | $3,942.82 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,942.82 | — |
| AmeriHealth Caritas | Medicare | $3,942.82 | — |
| United Healthcare | Unison Advantage Special Needs | $4,015.84 | — |
| Aetna | Medicare | $4,015.84 | — |
| Highmark BCBS of PA | UPMC Emergent | $4,393.81 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bx/exc lymph node/open/deep cervic 38510 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $939.00 | $142.80 – $1,252.00 |
| UPMC Community Osteopathic | Harrisburg | $1,159.20 | $183.60 – $7,348.95 |
| UPMC Somerset | Somerset | $1,159.20 | $149.60 – $3,650.76 |
| Uniontown Hospital | Uniontown | $4,063.00 | $149.60 – $7,882.34 |
| UPMC Altoona | Altoona | not published | $136.00 – $3,942.82 |
| UPMC Bedford | Everett | not published | $142.80 – $3,942.82 |
| UPMC Carlisle | Carlisle | not published | $172.72 – $5,861.07 |
| UPMC Hamot | Erie | not published | $149.60 – $5,309.76 |