CT guidance for needle placement at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,392.20
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.
$3,987.00
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.
$174.66 with UPMC Health Plan vs $3,189.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $174.66 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $182.60 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $220.69 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $235.47 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $239.44 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $247.87 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $270.59 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $422.51 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $468.73 | ↓ -80% |
| UPMC Health Plan | Commercial | $640.31 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $940.74 | ↓ -61% |
| Aetna | Medicare | $996.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,222.89 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $1,259.88 | ↓ -47% |
| United Healthcare | Compass Exchange | $1,315.71 | ↓ -45% |
| UPMC Health Plan | CHIP | $1,365.73 | ↓ -43% |
| Aetna | Neighborhood Network | $1,399.44 | ↓ -41% |
| Aetna | EBR FI | $1,515.06 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,523.03 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,554.93 | ↓ -35% |
| United Healthcare | All Business | $1,554.93 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,554.93 | ↓ -35% |
| Cigna | New Business ASO | $1,554.93 | ↓ -35% |
| Cigna | Commercial | $1,594.80 | ↓ -33% |
| Aetna | EBR ASO | $1,594.80 | ↓ -33% |
| Cigna | EBR | $1,594.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,637.79 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,993.50 | ↓ -17% |
| InterGroup | PPO | $1,993.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $2,519.77 | ↑ +5% |
| Coventry/First Health | Commercial | $2,790.90 | ↑ +17% |
| Private Health Care Systems | PPO | $3,189.60 | ↑ +33% |
Visitor-reported prices
Comments
CT guidance for needle placement at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,565.40 | $102.25 – $2,087.20 |
| UPMC Carlisle | Carlisle | $914.40 | $133.95 – $1,295.40 |
| UPMC Cole | Coudersport | $979.20 | $146.14 – $1,305.60 |
| UPMC Community Osteopathic | Harrisburg | $914.40 | $49.60 – $1,840.10 |
| UPMC Hamot | Erie | $1,166.40 | $174.66 – $468.73 |
| UPMC Northwest | Seneca | $1,516.20 | $174.66 – $1,086.24 |
| UPMC Hanover | Hanover | $914.40 | $133.95 – $490.53 |
| UPMC Horizon-Greenville | Greenville | $2,352.60 | $166.72 – $814.22 |