Cath plc art ang/grft lt/rt hr at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$9,090.00
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.
$15,150.00
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.
$1,772.97 with Highmark BCBS of PA vs $12,404.86 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 | $1,772.97 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $2,119.68 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $3,074.74 | ↓ -66% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,132.70 | ↓ -66% |
| United Healthcare | Unison Advantage Non Special Needs | $3,219.78 | ↓ -65% |
| Aetna of PA | Medicare | $3,219.78 | ↓ -65% |
| United Healthcare | Medicare | $3,281.11 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,311.47 | ↓ -64% |
| Cigna | Medicare | $3,311.78 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,311.78 | ↓ -64% |
| AmeriHealth Caritas | Medicare | $3,311.78 | ↓ -64% |
| Aetna | Medicare | $3,373.11 | ↓ -63% |
| United Healthcare | Unison Advantage Special Needs | $3,373.11 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,631.08 | ↓ -49% |
| United Healthcare | Compass Exchange | $4,999.50 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,131.56 | ↓ -44% |
| Aetna | Neighborhood Network | $5,317.65 | ↓ -42% |
| Aetna | EBR FI | $5,757.00 | ↓ -37% |
| Aetna | Home Depot Employer Group | $5,787.30 | ↓ -36% |
| Cigna | NBR ASO/FI | $5,908.50 | ↓ -35% |
| United Healthcare | All Business | $5,908.50 | ↓ -35% |
| Aetna | NBR ASO/FI | $5,908.50 | ↓ -35% |
| Cigna | New Business ASO | $5,908.50 | ↓ -35% |
| Cigna | Commercial | $6,060.00 | ↓ -33% |
| Cigna | EBR | $6,060.00 | ↓ -33% |
| Aetna | EBR ASO | $6,060.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $6,202.43 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,872.60 | ↓ -24% |
| UPMC Health Plan | CHIP | $6,875.90 | ↓ -24% |
| InterGroup | PPO | $7,575.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $8,332.50 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $8,332.50 | ↓ -8% |
| UPMC Health Plan | Commercial | $8,343.91 | ↓ -8% |
| Coventry/First Health | Commercial | $10,605.00 | ↑ +17% |
| Private Health Care Systems | PPO | $12,120.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $12,404.86 | ↑ +36% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cath plc art ang/grft lt/rt hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12,655.80 | $1,756.25 – $16,874.40 |
| UPMC Carlisle | Carlisle | $7,636.80 | $1,016.56 – $10,818.80 |
| UPMC Community Osteopathic | Harrisburg | $7,636.80 | $1,016.56 – $10,818.80 |
| UPMC Hamot | Erie | $25,078.20 | $1,756.25 – $4,459.95 |
| UPMC Northwest | Seneca | $11,503.20 | $2,119.68 – $3,311.78 |
| UPMC Hanover | Hanover | $7,636.80 | $1,016.56 – $6,875.90 |
| UPMC Jameson | New Castle | $4,640.40 | $892.40 – $3,833.07 |
| UPMC Lititz | Lititz | $7,636.80 | $1,016.56 – $6,875.90 |