Cath groshong MRI 8fr plstc port at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,170.40
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.
$5,284.00
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.
$213.56 with Health Partners Plans (Jefferson Health Plan) vs $2,876.61 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $213.56 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $247.28 | ↓ -92% |
| Aetna | Medicare | $281.00 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $370.92 | ↓ -88% |
| United Healthcare | Compass Exchange | $370.92 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $370.92 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $372.97 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $380.25 | ↓ -88% |
| Aetna | Neighborhood Network | $394.52 | ↓ -88% |
| Aetna | EBR FI | $427.12 | ↓ -87% |
| Aetna | Home Depot Employer Group | $429.37 | ↓ -86% |
| Cigna | NBR ASO/FI | $438.36 | ↓ -86% |
| United Healthcare | All Business | $438.36 | ↓ -86% |
| Aetna | NBR ASO/FI | $438.36 | ↓ -86% |
| Cigna | New Business ASO | $438.36 | ↓ -86% |
| Cigna | Commercial | $449.60 | ↓ -86% |
| Aetna | EBR ASO | $449.60 | ↓ -86% |
| Cigna | EBR | $449.60 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $562.00 | ↓ -82% |
| InterGroup | PPO | $562.00 | ↓ -82% |
| Coventry/First Health | Commercial | $786.80 | ↓ -75% |
| Private Health Care Systems | PPO | $899.20 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,074.00 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,079.51 | ↓ -66% |
| Highmark BCBS of PA | Managed Care | $1,438.31 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,445.76 | ↓ -54% |
| UPMC Health Plan | CHIP | $2,186.07 | ↓ -31% |
| UPMC Health Plan | Commercial | $2,652.80 | ↓ -16% |
| Highmark BCBS of PA | UPMC Emergent | $2,876.61 | ↓ -9% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath groshong MRI 8fr plstc port at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,029.80 | $148.96 – $2,186.07 |
| UPMC Bedford | Everett | $2,371.80 | $251.94 – $2,186.07 |
| UPMC Cole | Coudersport | $450.00 | $142.50 – $600.00 |
| UPMC Community Osteopathic | Harrisburg | $1,597.20 | $262.40 – $2,186.07 |
| UPMC Hamot | Erie | $2,746.20 | $369.46 – $369.46 |
| UPMC Northwest | Seneca | $2,380.80 | $958.88 – $2,645.34 |
| UPMC Horizon-Greenville | Greenville | $2,491.20 | $941.59 – $2,186.07 |
| UPMC Jameson | New Castle | $1,778.40 | $375.97 – $2,186.07 |