Cath hawkone s directional at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$6,286.80
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.
$10,478.00
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.
$436.10 with Highmark BCBS of PA vs $9,286.93 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $436.10 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,255.77 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,262.21 | ↓ -80% |
| Aetna | Medicare | $1,470.75 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $1,681.74 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,690.45 | ↓ -73% |
| United Healthcare | Compass Exchange | $1,941.39 | ↓ -69% |
| Aetna | Neighborhood Network | $2,064.93 | ↓ -67% |
| Aetna | EBR FI | $2,235.54 | ↓ -64% |
| Aetna | Home Depot Employer Group | $2,247.31 | ↓ -64% |
| Cigna | NBR ASO/FI | $2,294.37 | ↓ -64% |
| Aetna | NBR ASO/FI | $2,294.37 | ↓ -64% |
| United Healthcare | All Business | $2,294.37 | ↓ -64% |
| Cigna | New Business ASO | $2,294.37 | ↓ -64% |
| Aetna | EBR ASO | $2,353.20 | ↓ -63% |
| Cigna | Commercial | $2,353.20 | ↓ -63% |
| Cigna | EBR | $2,353.20 | ↓ -63% |
| InterGroup | PPO | $2,941.50 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,941.50 | ↓ -53% |
| PA Health & Wellness | PA Medicaid HMO | $3,235.65 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $3,235.65 | ↓ -49% |
| Highmark BCBS of PA | UPMC Emergent | $3,363.48 | ↓ -46% |
| Coventry/First Health | Commercial | $4,118.10 | ↓ -34% |
| Private Health Care Systems | PPO | $4,706.40 | ↓ -25% |
| UPMC Health Plan | CHIP | $7,653.02 | ↑ +22% |
| UPMC Health Plan | Commercial | $9,286.93 | ↑ +48% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath hawkone s directional at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,386.80 | $431.99 – $15,182.40 |
| UPMC Community Osteopathic | Harrisburg | $7,639.20 | $1,395.80 – $7,653.02 |
| UPMC Hamot | Erie | $6,731.40 | $431.99 – $431.99 |
| UPMC Northwest | Seneca | $7,936.80 | $1,121.17 – $9,260.83 |
| UPMC Jameson | New Castle | $11,068.80 | $389.94 – $7,653.02 |
| UPMC Memorial | York | $7,639.20 | $352.09 – $7,653.02 |
| UPMC Mercy | Pittsburgh | $7,680.60 | $431.99 – $6,043.15 |
| UPMC Passavant-McCandless | Pittsburgh | $5,620.20 | $436.10 – $11,105.48 |