Ca screen;flexi sigmoidscope 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$89.79 with Highmark BCBS of PA vs $1,734.58 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $89.79 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $234.54 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $259.88 | — |
| Highmark BCBS of PA | Managed Care | $314.12 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $348.06 | — |
| Highmark BCBS of PA | UPMC Emergent | $628.23 | — |
| UPMC Health Plan | Managed Medicare | $871.56 | — |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $887.98 | — |
| Aetna of PA | Medicare | $912.67 | — |
| United Healthcare | Unison Advantage Non Special Needs | $912.67 | — |
| United Healthcare | Medicare | $930.05 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $938.66 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $938.75 | — |
| Cigna | Medicare | $938.75 | — |
| AmeriHealth Caritas | Medicare | $938.75 | — |
| Aetna | Medicare | $956.13 | — |
| United Healthcare | Unison Advantage Special Needs | $956.13 | — |
| UPMC Health Plan | CHIP | $1,429.40 | — |
| UPMC Health Plan | Commercial | $1,734.58 | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ca screen;flexi sigmoidscope at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $598.20 | $246.65 – $938.75 |
| UPMC Magee | Pittsburgh | $598.20 | $89.79 – $956.13 |
| UPMC McKeesport | Mckeesport | $598.20 | $89.79 – $956.13 |
| UPMC Passavant-McCandless | Pittsburgh | $598.20 | $89.79 – $956.13 |
| UPMC Presbyterian | Pittsburgh | $634.20 | $89.79 – $2,311.08 |
| Uniontown Hospital | Uniontown | $720.00 | $42.21 – $1,872.15 |
| UPMC Altoona | Altoona | not published | $88.94 – $938.75 |
| UPMC Northwest | Seneca | not published | $230.84 – $938.75 |