Cath imag ivus pv 8.5fx90 .035 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$6,164.40
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.
$10,274.00
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.
$14.50 with Aetna vs $4,700.77 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 | $14.50 | ↓ -100% |
| United Healthcare | Compass Exchange | $19.14 | ↓ -100% |
| Aetna | Neighborhood Network | $20.36 | ↓ -100% |
| Aetna | EBR FI | $22.04 | ↓ -100% |
| Aetna | Home Depot Employer Group | $22.16 | ↓ -100% |
| Cigna | NBR ASO/FI | $22.62 | ↓ -100% |
| Aetna | NBR ASO/FI | $22.62 | ↓ -100% |
| Cigna | New Business ASO | $22.62 | ↓ -100% |
| United Healthcare | All Business | $22.62 | ↓ -100% |
| Aetna | EBR ASO | $23.20 | ↓ -100% |
| Cigna | EBR | $23.20 | ↓ -100% |
| Cigna | Commercial | $23.20 | ↓ -100% |
| InterGroup | PPO | $29.00 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $29.00 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $31.90 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $31.90 | ↓ -99% |
| Coventry/First Health | Commercial | $40.60 | ↓ -99% |
| Private Health Care Systems | PPO | $46.40 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $609.49 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,755.06 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,764.05 | ↓ -71% |
| Highmark BCBS of PA | Managed Care | $2,350.38 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,362.56 | ↓ -62% |
| UPMC Health Plan | CHIP | $3,814.33 | ↓ -38% |
| UPMC Health Plan | Commercial | $4,628.69 | ↓ -25% |
| Highmark BCBS of PA | UPMC Emergent | $4,700.77 | ↓ -24% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath imag ivus pv 8.5fx90 .035 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,126.40 | $42.50 – $3,814.33 |
| UPMC Community Osteopathic | Harrisburg | $7,522.20 | $690.60 – $3,814.33 |
| UPMC Hamot | Erie | $5,631.00 | $603.74 – $603.74 |
| UPMC Magee | Pittsburgh | $2,281.20 | $94.53 – $3,814.33 |
| UPMC McKeesport | Mckeesport | $2,257.80 | $94.53 – $3,814.33 |
| UPMC Memorial | York | $7,522.20 | $85.94 – $3,814.33 |
| UPMC Mercy | Pittsburgh | $3,611.40 | $603.74 – $3,011.96 |
| UPMC Muncy | Muncy | $1,237.80 | $16.20 – $97.20 |