Cath uret open tp 6fx70cm at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$733.20
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.
$1,222.00
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.
$1.90 with Health Partners Plans (Jefferson Health Plan) vs $251.68 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 | $1.90 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.20 | ↓ -100% |
| Aetna | Medicare | $2.50 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $3.30 | ↓ -100% |
| United Healthcare | Compass Exchange | $3.30 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $3.30 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.38 | ↓ -100% |
| Aetna | Neighborhood Network | $3.51 | ↓ -100% |
| Aetna | EBR FI | $3.80 | ↓ -99% |
| Aetna | Home Depot Employer Group | $3.82 | ↓ -99% |
| Cigna | NBR ASO/FI | $3.90 | ↓ -99% |
| United Healthcare | All Business | $3.90 | ↓ -99% |
| Aetna | NBR ASO/FI | $3.90 | ↓ -99% |
| Cigna | New Business ASO | $3.90 | ↓ -99% |
| Aetna | EBR ASO | $4.00 | ↓ -99% |
| Cigna | EBR | $4.00 | ↓ -99% |
| Cigna | Commercial | $4.00 | ↓ -99% |
| InterGroup | PPO | $5.00 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.00 | ↓ -99% |
| Coventry/First Health | Commercial | $7.00 | ↓ -99% |
| Private Health Care Systems | PPO | $8.00 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $32.63 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $93.97 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $94.45 | ↓ -87% |
| Highmark BCBS of PA | Managed Care | $125.84 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity | $126.49 | ↓ -83% |
| UPMC Health Plan | CHIP | $183.18 | ↓ -75% |
| UPMC Health Plan | Commercial | $222.28 | ↓ -70% |
| Highmark BCBS of PA | UPMC Emergent | $251.68 | ↓ -66% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath uret open tp 6fx70cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $279.00 | $2.47 – $183.18 |
| UPMC Bedford | Everett | $384.00 | $4.94 – $183.18 |
| UPMC Hamot | Erie | $733.20 | $32.32 – $32.32 |
| UPMC Northwest | Seneca | $733.20 | $83.89 – $221.66 |
| UPMC Horizon-Greenville | Greenville | $691.80 | $82.38 – $183.18 |
| UPMC Jameson | New Castle | $733.20 | $32.89 – $183.18 |
| UPMC Magee | Pittsburgh | $1,265.40 | $32.63 – $183.18 |
| UPMC McKeesport | Mckeesport | $760.80 | $32.63 – $183.18 |