Cdna analysis for variants at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,916.40
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.
?
What you pay up front if you don't use insurance.
$3,194.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$183.04 with UPMC Work Partners vs $2,155.34 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $183.04 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $185.70 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $189.20 | ↓ -90% |
| United Healthcare | Unison Advantage Non Special Needs | $194.46 | ↓ -90% |
| Aetna of PA | Medicare | $194.46 | ↓ -90% |
| United Healthcare | Medicare | $198.16 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $200.00 | ↓ -90% |
| Cigna | Medicare | $200.02 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $200.02 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $200.02 | ↓ -90% |
| United Healthcare | Unison Advantage Special Needs | $203.72 | ↓ -89% |
| Aetna | Medicare | $203.72 | ↓ -89% |
| UPMC Health Plan | Commercial | $269.05 | ↓ -86% |
| United Healthcare | Compass Exchange | $335.94 | ↓ -82% |
| Aetna | Neighborhood Network | $357.32 | ↓ -81% |
| Aetna | EBR FI | $386.84 | ↓ -80% |
| Aetna | Home Depot Employer Group | $388.88 | ↓ -80% |
| Aetna | NBR ASO/FI | $397.02 | ↓ -79% |
| Cigna | New Business ASO | $397.02 | ↓ -79% |
| Cigna | NBR ASO/FI | $397.02 | ↓ -79% |
| United Healthcare | All Business | $397.02 | ↓ -79% |
| Aetna | EBR ASO | $407.20 | ↓ -79% |
| Cigna | Commercial | $407.20 | ↓ -79% |
| Cigna | EBR | $407.20 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $462.90 | ↓ -76% |
| InterGroup | PPO | $509.00 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $559.90 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $559.90 | ↓ -71% |
| Coventry/First Health | Commercial | $712.60 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $804.67 | ↓ -58% |
| Private Health Care Systems | PPO | $814.40 | ↓ -58% |
| UPMC Health Plan | CHIP | $978.04 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $1,077.67 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,339.77 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,794.33 | ↓ -6% |
| Highmark BCBS of PA | UPMC Emergent | $2,155.34 | ↑ +12% |
Visitor-reported prices
Comments
Cdna analysis for variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,277.60 | $183.04 – $736.00 |
| UPMC Bedford | Everett | $2,343.60 | $66.82 – $1,841.40 |
| UPMC Carlisle | Carlisle | $1,070.40 | $101.86 – $1,516.40 |
| UPMC Cole | Coudersport | $1,117.20 | $53.00 – $1,489.60 |
| UPMC Community Osteopathic | Harrisburg | $1,070.40 | $147.99 – $1,516.40 |
| UPMC Hamot | Erie | $4,339.20 | $183.04 – $458.53 |
| UPMC Hanover | Hanover | $1,070.40 | $147.99 – $978.04 |
| UPMC Horizon-Greenville | Greenville | $2,882.40 | $165.81 – $347.53 |