CT guidance for percutaneous drain w/catheter placement supervision & interpretation at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,334.40
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.
$2,224.00
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.
$19.25 with UPMC Health Plan vs $1,779.20 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 | $19.25 | ↓ -99% |
| United Healthcare Community Plan for Families | Unison Kids | $20.12 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $24.32 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.95 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $26.39 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.32 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $29.82 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $209.49 | ↓ -84% |
| UPMC Health Plan | Commercial | $311.65 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $388.27 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $466.44 | ↓ -65% |
| Aetna | Medicare | $556.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $606.34 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $624.68 | ↓ -53% |
| UPMC Health Plan | CHIP | $664.72 | ↓ -50% |
| United Healthcare | Compass Exchange | $733.92 | ↓ -45% |
| Aetna | Neighborhood Network | $780.62 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $812.06 | ↓ -39% |
| Aetna | EBR FI | $845.12 | ↓ -37% |
| Aetna | Home Depot Employer Group | $849.57 | ↓ -36% |
| Cigna | NBR ASO/FI | $867.36 | ↓ -35% |
| United Healthcare | All Business | $867.36 | ↓ -35% |
| Aetna | NBR ASO/FI | $867.36 | ↓ -35% |
| Cigna | New Business ASO | $867.36 | ↓ -35% |
| Aetna | EBR ASO | $889.60 | ↓ -33% |
| Cigna | EBR | $889.60 | ↓ -33% |
| Cigna | Commercial | $889.60 | ↓ -33% |
| InterGroup | PPO | $1,112.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,112.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,249.36 | ↓ -6% |
| Coventry/First Health | Commercial | $1,556.80 | ↑ +17% |
| Private Health Care Systems | PPO | $1,779.20 | ↑ +33% |
Visitor-reported prices
Comments
CT guidance for percutaneous drain w/catheter placement supervision & interpretation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $542.40 | $10.00 – $723.20 |
| UPMC Bedford | Everett | $652.20 | $18.38 – $978.30 |
| UPMC Carlisle | Carlisle | $1,524.60 | $13.10 – $2,159.85 |
| UPMC Community Osteopathic | Harrisburg | $1,524.60 | $13.10 – $2,159.85 |
| UPMC Hamot | Erie | $573.00 | $19.25 – $388.27 |
| UPMC Northwest | Seneca | $771.00 | $19.25 – $538.58 |
| UPMC Hanover | Hanover | $1,524.60 | $13.10 – $406.33 |
| UPMC Horizon-Greenville | Greenville | $1,168.20 | $18.38 – $403.71 |