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Carotid Artery Ultrasound (Duplex) at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$831.00
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.
$1,385.00
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.
$162.09 with Highmark BCBS of PA vs $1,134.10 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $162.09 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $162.65 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison Kids | $170.04 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $205.51 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $219.28 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $222.97 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $230.82 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $231.07 | ↓ -72% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $235.43 | ↓ -72% |
| United Healthcare | Unison Advantage Non Special Needs | $241.97 | ↓ -71% |
| Aetna of PA | Medicare | $241.97 | ↓ -71% |
| United Healthcare | Medicare | $246.58 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -70% |
| Cigna | Medicare | $248.89 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.89 | ↓ -70% |
| PA Health & Wellness | PA Medicaid HMO | $251.98 | ↓ -70% |
| Aetna | Medicare | $253.50 | ↓ -69% |
| United Healthcare | Unison Advantage Special Needs | $253.50 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $423.39 | ↓ -49% |
| United Healthcare | Compass Exchange | $457.05 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $469.15 | ↓ -44% |
| Aetna | Neighborhood Network | $486.13 | ↓ -42% |
| UPMC Health Plan | CHIP | $504.34 | ↓ -39% |
| Aetna | EBR FI | $526.30 | ↓ -37% |
| Aetna | Home Depot Employer Group | $529.07 | ↓ -36% |
| Cigna | NBR ASO/FI | $540.15 | ↓ -35% |
| Aetna | NBR ASO/FI | $540.15 | ↓ -35% |
| Cigna | New Business ASO | $540.15 | ↓ -35% |
| United Healthcare | All Business | $540.15 | ↓ -35% |
| Cigna | EBR | $554.00 | ↓ -33% |
| Cigna | Commercial | $554.00 | ↓ -33% |
| Aetna | EBR ASO | $554.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $567.05 | ↓ -32% |
| UPMC Work Partners | Workers Comp | $575.42 | ↓ -31% |
| UPMC Health Plan | Commercial | $612.01 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Indemnity | $628.32 | ↓ -24% |
| InterGroup | PPO | $692.50 | ↓ -17% |
| Coventry/First Health | Commercial | $969.50 | ↑ +17% |
| Private Health Care Systems | PPO | $1,108.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,134.10 | ↑ +36% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Carotid Artery Ultrasound (Duplex) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,764.20 | $162.09 – $3,915.95 |
| UPMC Hamot | Erie | $1,007.40 | $94.90 – $1,175.30 |
| UPMC Lititz | Lititz | $788.40 | $156.34 – $1,116.90 |
| UPMC Carlisle | Carlisle | $788.40 | $156.34 – $1,116.90 |
| UPMC Altoona | Altoona | $1,053.00 | $119.34 – $1,404.00 |
| UPMC Bedford | Everett | $499.20 | $83.15 – $748.80 |
| UPMC Cole | Coudersport | $481.20 | $155.25 – $641.60 |
| UPMC Community Osteopathic | Harrisburg | $788.40 | $156.34 – $691.90 |