Clamp isol transpolr 5mmx6.5cm transpolar at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,077.40
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.
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What you pay up front if you don't use insurance.
$5,129.00
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.
$873.00 with Aetna vs $7,034.79 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 |
|---|---|---|---|
| Aetna | Medicare | $873.00 | ↓ -72% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $912.11 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $974.51 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,128.38 | ↓ -63% |
| United Healthcare | Compass Exchange | $1,152.36 | ↓ -63% |
| Aetna | Neighborhood Network | $1,225.69 | ↓ -60% |
| Aetna | EBR FI | $1,326.96 | ↓ -57% |
| Aetna | Home Depot Employer Group | $1,333.94 | ↓ -57% |
| Cigna | NBR ASO/FI | $1,361.88 | ↓ -56% |
| United Healthcare | All Business | $1,361.88 | ↓ -56% |
| Cigna | New Business ASO | $1,361.88 | ↓ -56% |
| Aetna | NBR ASO/FI | $1,361.88 | ↓ -56% |
| Aetna | EBR ASO | $1,396.80 | ↓ -55% |
| Cigna | Commercial | $1,396.80 | ↓ -55% |
| Cigna | EBR | $1,396.80 | ↓ -55% |
| PA Health & Wellness | PA Medicaid HMO | $1,692.57 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $1,692.57 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,735.14 | ↓ -44% |
| InterGroup | PPO | $1,746.00 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,746.00 | ↓ -43% |
| Coventry/First Health | Commercial | $2,444.40 | ↓ -21% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,626.48 | ↓ -15% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,639.94 | ↓ -14% |
| Private Health Care Systems | PPO | $2,793.60 | ↓ -9% |
| Highmark BCBS of PA | Managed Care | $3,517.40 | ↑ +14% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,535.62 | ↑ +15% |
| UPMC Health Plan | CHIP | $4,180.96 | ↑ +36% |
| UPMC Health Plan | Commercial | $5,073.59 | ↑ +65% |
| Highmark BCBS of PA | UPMC Emergent | $7,034.79 | ↑ +129% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Clamp isol transpolr 5mmx6.5cm transpolar at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $15,970.80 | $903.51 – $4,180.96 |
| UPMC Community Osteopathic | Harrisburg | $6,678.60 | $482.60 – $4,755.85 |
| UPMC Hamot | Erie | $16,407.00 | $903.51 – $903.51 |
| UPMC Magee | Pittsburgh | $3,135.00 | $912.11 – $4,180.96 |
| UPMC McKeesport | Mckeesport | $3,135.00 | $912.11 – $4,180.96 |
| UPMC Memorial | York | $6,678.60 | $736.40 – $4,180.96 |
| UPMC Mercy | Pittsburgh | $3,909.60 | $903.51 – $3,301.47 |
| UPMC Muncy | Muncy | $1,736.40 | $434.10 – $2,604.60 |