Cath w/drainage 2-way silcne at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$60.00
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.
$100.00
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.
$7.00 with Aetna vs $175.12 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 |
|---|---|---|---|
| Aetna | Medicare | $7.00 | ↓ -88% |
| United Healthcare | Compass Exchange | $9.24 | ↓ -85% |
| Aetna | Neighborhood Network | $9.83 | ↓ -84% |
| Aetna | EBR FI | $10.64 | ↓ -82% |
| Aetna | Home Depot Employer Group | $10.70 | ↓ -82% |
| Cigna | NBR ASO/FI | $10.92 | ↓ -82% |
| Aetna | NBR ASO/FI | $10.92 | ↓ -82% |
| Cigna | New Business ASO | $10.92 | ↓ -82% |
| United Healthcare | All Business | $10.92 | ↓ -82% |
| Aetna | EBR ASO | $11.20 | ↓ -81% |
| Cigna | EBR | $11.20 | ↓ -81% |
| Cigna | Commercial | $11.20 | ↓ -81% |
| InterGroup | PPO | $14.00 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.00 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $15.40 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $15.40 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $15.68 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $15.68 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $15.96 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $15.96 | ↓ -73% |
| Coventry/First Health | Commercial | $19.60 | ↓ -67% |
| Private Health Care Systems | PPO | $22.40 | ↓ -63% |
| Highmark BCBS of PA | UPMC Emergent | $31.36 | ↓ -48% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $42.54 | ↓ -29% |
| UPMC Work Partners | Workers Comp | $60.19 | ↑ +0% |
| UPMC Health Plan | CHIP | $144.31 | ↑ +141% |
| UPMC Health Plan | Commercial | $175.12 | ↑ +192% |
Visitor-reported prices
Comments
Cath w/drainage 2-way silcne at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $187.20 | $5.50 – $144.31 |
| UPMC Bedford | Everett | $104.40 | $7.75 – $144.31 |
| UPMC Hamot | Erie | $188.40 | $42.14 – $60.19 |
| UPMC Northwest | Seneca | $342.00 | $60.19 – $174.63 |
| UPMC Horizon-Greenville | Greenville | $362.40 | $60.19 – $144.31 |
| UPMC Jameson | New Castle | $60.00 | $17.48 – $144.31 |
| UPMC Mercy | Pittsburgh | $58.20 | $42.14 – $113.95 |
| UPMC Muncy | Muncy | $64.20 | $19.46 – $64.39 |