Cap nerve 2x15mm at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,131.40
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.
$5,219.00
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.
$118.37 with Health Partners Plans (Jefferson Health Plan) vs $4,495.70 with UPMC Health Plan — 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 | $118.37 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $137.06 | ↓ -96% |
| Aetna | Medicare | $155.75 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $205.59 | ↓ -93% |
| United Healthcare | Compass Exchange | $205.59 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $205.59 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $210.76 | ↓ -93% |
| Aetna | Neighborhood Network | $218.67 | ↓ -93% |
| Aetna | EBR FI | $236.74 | ↓ -92% |
| Aetna | Home Depot Employer Group | $237.99 | ↓ -92% |
| Cigna | NBR ASO/FI | $242.97 | ↓ -92% |
| United Healthcare | All Business | $242.97 | ↓ -92% |
| Aetna | NBR ASO/FI | $242.97 | ↓ -92% |
| Cigna | New Business ASO | $242.97 | ↓ -92% |
| Aetna | EBR ASO | $249.20 | ↓ -92% |
| Cigna | EBR | $249.20 | ↓ -92% |
| Cigna | Commercial | $249.20 | ↓ -92% |
| InterGroup | PPO | $311.50 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $311.50 | ↓ -90% |
| Coventry/First Health | Commercial | $436.10 | ↓ -86% |
| Private Health Care Systems | PPO | $498.40 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $504.38 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,452.41 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,459.85 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $1,945.07 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,955.15 | ↓ -38% |
| UPMC Health Plan | CHIP | $3,704.74 | ↑ +18% |
| Highmark BCBS of PA | UPMC Emergent | $3,890.14 | ↑ +24% |
| UPMC Health Plan | Commercial | $4,495.70 | ↑ +44% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cap nerve 2x15mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,388.80 | $46.93 – $3,704.74 |
| UPMC Cole | Coudersport | $3,820.20 | $798.76 – $3,363.20 |
| UPMC Hamot | Erie | $11,497.80 | $499.63 – $499.63 |
| UPMC Kane | Kane | $1,470.00 | $2,728.07 – $2,728.07 |
| UPMC Magee | Pittsburgh | $18,384.00 | $449.01 – $3,704.74 |
| UPMC Mercy | Pittsburgh | $5,785.80 | $499.63 – $2,925.42 |
| UPMC Passavant-McCandless | Pittsburgh | $8,136.00 | $504.38 – $5,376.04 |
| UPMC Presbyterian | Pittsburgh | $10,847.40 | $504.38 – $5,989.90 |