Coronary art/grft angio s&i at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$6,611.40
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.
$11,019.00
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.
$1,289.74 with Highmark BCBS of PA vs $9,023.83 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,289.74 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $1,512.38 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $3,074.74 | ↓ -53% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,132.70 | ↓ -53% |
| Aetna of PA | Medicare | $3,219.78 | ↓ -51% |
| United Healthcare | Unison Advantage Non Special Needs | $3,219.78 | ↓ -51% |
| United Healthcare | Medicare | $3,281.11 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,311.47 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,311.78 | ↓ -50% |
| Cigna | Medicare | $3,311.78 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $3,311.78 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,368.85 | ↓ -49% |
| Aetna | Medicare | $3,373.11 | ↓ -49% |
| United Healthcare | Unison Advantage Special Needs | $3,373.11 | ↓ -49% |
| United Healthcare | Compass Exchange | $3,636.27 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,732.92 | ↓ -44% |
| Aetna | Neighborhood Network | $3,867.67 | ↓ -41% |
| UPMC Health Plan | CHIP | $3,969.28 | ↓ -40% |
| Aetna | EBR FI | $4,187.22 | ↓ -37% |
| Aetna | Home Depot Employer Group | $4,209.26 | ↓ -36% |
| Cigna | NBR ASO/FI | $4,297.41 | ↓ -35% |
| United Healthcare | All Business | $4,297.41 | ↓ -35% |
| Aetna | NBR ASO/FI | $4,297.41 | ↓ -35% |
| Cigna | New Business ASO | $4,297.41 | ↓ -35% |
| Cigna | Commercial | $4,407.60 | ↓ -33% |
| Aetna | EBR ASO | $4,407.60 | ↓ -33% |
| Cigna | EBR | $4,407.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $4,511.92 | ↓ -32% |
| UPMC Health Plan | Commercial | $4,816.72 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,999.42 | ↓ -24% |
| InterGroup | PPO | $5,509.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $6,060.45 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,060.45 | ↓ -8% |
| Coventry/First Health | Commercial | $7,713.30 | ↑ +17% |
| Private Health Care Systems | PPO | $8,815.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $9,023.83 | ↑ +36% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Coronary art/grft angio s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,002.00 | $1,277.57 – $13,336.00 |
| UPMC Carlisle | Carlisle | $5,553.60 | $1,016.56 – $7,867.60 |
| UPMC Community Osteopathic | Harrisburg | $5,553.60 | $1,016.56 – $7,867.60 |
| UPMC Hamot | Erie | $12,250.20 | $1,277.57 – $4,459.95 |
| UPMC Hanover | Hanover | $5,553.60 | $1,016.56 – $4,916.22 |
| UPMC Jameson | New Castle | $4,585.80 | $892.40 – $3,833.07 |
| UPMC Lititz | Lititz | $5,553.60 | $1,016.56 – $4,942.77 |
| UPMC Magee | Pittsburgh | $9,857.40 | $1,289.74 – $3,373.11 |