Cath adherent clot 10mm 6f 10 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$20,988.00
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.
$34,980.00
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.
$28.25 with Aetna vs $2,609.30 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 |
|---|---|---|---|
| Aetna | Medicare | $28.25 | ↓ -100% |
| United Healthcare | Compass Exchange | $37.29 | ↓ -100% |
| Aetna | Neighborhood Network | $39.66 | ↓ -100% |
| Aetna | EBR FI | $42.94 | ↓ -100% |
| Aetna | Home Depot Employer Group | $43.17 | ↓ -100% |
| Aetna | NBR ASO/FI | $44.07 | ↓ -100% |
| Cigna | NBR ASO/FI | $44.07 | ↓ -100% |
| Cigna | New Business ASO | $44.07 | ↓ -100% |
| United Healthcare | All Business | $44.07 | ↓ -100% |
| Cigna | EBR | $45.20 | ↓ -100% |
| Aetna | EBR ASO | $45.20 | ↓ -100% |
| Cigna | Commercial | $45.20 | ↓ -100% |
| InterGroup | PPO | $56.50 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $56.50 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $62.15 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $62.15 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $62.70 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $72.60 | ↓ -100% |
| Coventry/First Health | Commercial | $79.10 | ↓ -100% |
| Private Health Care Systems | PPO | $90.40 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $111.64 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $338.31 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $974.20 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $979.19 | ↓ -95% |
| UPMC Health Plan | CHIP | $1,060.47 | ↓ -95% |
| UPMC Health Plan | Commercial | $1,286.88 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $1,304.65 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,311.41 | ↓ -94% |
| Highmark BCBS of PA | UPMC Emergent | $2,609.30 | ↓ -88% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath adherent clot 10mm 6f 10 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $21,389.40 | $12.00 – $1,060.47 |
| UPMC Community Osteopathic | Harrisburg | $4,761.60 | $32.60 – $1,764.01 |
| UPMC Hamot | Erie | $21,438.00 | $335.12 – $335.12 |
| UPMC Northwest | Seneca | $1,504.20 | $869.77 – $1,283.27 |
| UPMC Horizon-Greenville | Greenville | $5,349.00 | $854.09 – $1,060.47 |
| UPMC Jameson | New Castle | $16,058.40 | $16.33 – $1,060.47 |
| UPMC Magee | Pittsburgh | $18,412.20 | $17.96 – $1,060.47 |
| UPMC McKeesport | Mckeesport | $14,453.40 | $17.96 – $1,060.47 |