Cholecystostomy complete w/supervision & interpretation at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,079.80
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.
$5,133.00
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.
$834.64 with UPMC Work Partners vs $5,372.46 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $834.64 | ↓ -73% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $900.85 | ↓ -71% |
| United Healthcare | Compass Exchange | $1,597.86 | ↓ -48% |
| UPMC Health Plan | CHIP | $1,694.70 | ↓ -45% |
| Aetna | Neighborhood Network | $1,699.54 | ↓ -45% |
| Aetna | EBR FI | $1,839.96 | ↓ -40% |
| Aetna | Home Depot Employer Group | $1,849.64 | ↓ -40% |
| Cigna | NBR ASO/FI | $1,888.38 | ↓ -39% |
| United Healthcare | All Business | $1,888.38 | ↓ -39% |
| Cigna | New Business ASO | $1,888.38 | ↓ -39% |
| Aetna | NBR ASO/FI | $1,888.38 | ↓ -39% |
| Aetna | EBR ASO | $1,936.80 | ↓ -37% |
| Cigna | EBR | $1,936.80 | ↓ -37% |
| Cigna | Commercial | $1,936.80 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,005.78 | ↓ -35% |
| UPMC Health Plan | Commercial | $2,375.00 | ↓ -23% |
| InterGroup | PPO | $2,421.00 | ↓ -21% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,607.36 | ↓ -15% |
| Geisinger | Medicaid/CHIP | $2,663.10 | ↓ -14% |
| PA Health & Wellness | PA Medicaid HMO | $2,663.10 | ↓ -14% |
| Highmark BCBS of PA | Managed Care | $2,686.23 | ↓ -13% |
| UPMC Health Plan | Managed Medicare | $3,373.62 | ↑ +10% |
| Coventry/First Health | Commercial | $3,389.40 | ↑ +10% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,437.21 | ↑ +12% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,491.98 | ↑ +13% |
| Aetna of PA | Medicare | $3,532.77 | ↑ +15% |
| United Healthcare | Unison Advantage Non Special Needs | $3,532.77 | ↑ +15% |
| United Healthcare | Medicare | $3,600.06 | ↑ +17% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,633.37 | ↑ +18% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,633.70 | ↑ +18% |
| Cigna | Medicare | $3,633.70 | ↑ +18% |
| AmeriHealth Caritas | Medicare | $3,633.70 | ↑ +18% |
| United Healthcare | Unison Advantage Special Needs | $3,700.99 | ↑ +20% |
| Aetna | Medicare | $3,700.99 | ↑ +20% |
| Private Health Care Systems | PPO | $3,873.60 | ↑ +26% |
| Highmark BCBS of PA | UPMC Emergent | $5,372.46 | ↑ +74% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cholecystostomy complete w/supervision & interpretation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,867.40 | $845.77 – $3,823.20 |
| UPMC Carlisle | Carlisle | $4,714.20 | $247.59 – $6,678.45 |
| UPMC Community Osteopathic | Harrisburg | $4,714.20 | $247.59 – $6,678.45 |
| UPMC Hamot | Erie | $3,536.40 | $834.64 – $4,893.48 |
| UPMC Northwest | Seneca | $3,158.40 | $829.03 – $3,633.70 |
| UPMC Hanover | Hanover | $4,714.20 | $247.59 – $5,394.10 |
| UPMC Lititz | Lititz | $4,714.20 | $247.59 – $5,423.23 |
| UPMC Magee | Pittsburgh | $2,993.40 | $834.64 – $3,700.99 |