Conjugated estrogens 25 mg solution for injection at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$860.00
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.
$1,075.00
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.
$60.25 with Highmark BCBS of PA vs $860.00 with Private Health Care Systems — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $60.25 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $128.57 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $173.51 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $174.40 | ↓ -80% |
| Highmark BCBS of PA | Managed Care | $232.36 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $233.56 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $247.55 | ↓ -71% |
| United Healthcare | Compass Exchange | $365.50 | ↓ -58% |
| Aetna | Neighborhood Network | $377.32 | ↓ -56% |
| United Healthcare | All Business | $382.91 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $392.06 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $392.06 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $392.06 | ↓ -54% |
| PA Health & Wellness | PA Medicaid HMO | $392.06 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $393.12 | ↓ -54% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $400.53 | ↓ -53% |
| Aetna | EBR FI | $408.50 | ↓ -53% |
| Aetna | Home Depot Employer Group | $410.65 | ↓ -52% |
| United Healthcare | Unison Advantage Non Special Needs | $411.66 | ↓ -52% |
| Aetna of PA | Medicare | $411.66 | ↓ -52% |
| Cigna | NBR ASO/FI | $419.25 | ↓ -51% |
| Aetna | NBR ASO/FI | $419.25 | ↓ -51% |
| Cigna | New Business ASO | $419.25 | ↓ -51% |
| United Healthcare | Medicare | $419.50 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $423.39 | ↓ -51% |
| Cigna | Medicare | $423.42 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $423.42 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $423.42 | ↓ -51% |
| Cigna | EBR | $430.00 | ↓ -50% |
| Cigna | Commercial | $430.00 | ↓ -50% |
| Aetna | EBR ASO | $430.00 | ↓ -50% |
| Aetna | Medicare | $431.27 | ↓ -50% |
| United Healthcare | Unison Advantage Special Needs | $431.27 | ↓ -50% |
| UPMC Health Plan | CHIP | $431.83 | ↓ -50% |
| Highmark BCBS of PA | UPMC Emergent | $464.72 | ↓ -46% |
| UPMC Health Plan | Commercial | $482.24 | ↓ -44% |
| InterGroup | PPO | $537.50 | ↓ -38% |
| Coventry/First Health | Commercial | $752.50 | ↓ -13% |
| Private Health Care Systems | PPO | $860.00 | ↑ +0% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Conjugated estrogens 25 mg solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $789.60 | $59.69 – $789.60 |
| UPMC Carlisle | Carlisle | $220.80 | $50.42 – $627.30 |
| UPMC Cole | Coudersport | $2,362.80 | $392.06 – $3,150.40 |
| UPMC Community Osteopathic | Harrisburg | $220.80 | $73.60 – $482.24 |
| UPMC Hamot | Erie | $546.40 | $59.69 – $423.42 |
| UPMC Hanover | Hanover | $220.80 | $388.14 – $627.30 |
| UPMC Horizon-Greenville | Greenville | $860.00 | $152.11 – $423.42 |
| UPMC Lititz | Lititz | $220.80 | $388.14 – $627.30 |