CT neck soft tissue without contrast at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,863.00
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.
?
What you pay up front if you don't use insurance.
$3,105.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$101.65 with UPMC Health Plan vs $2,484.00 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Medicare | $101.65 | ↓ -95% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $103.57 | ↓ -94% |
| Aetna of PA | Medicare | $106.45 | ↓ -94% |
| United Healthcare | Unison Advantage Non Special Needs | $106.45 | ↓ -94% |
| United Healthcare | Medicare | $108.48 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↓ -94% |
| Cigna | Medicare | $109.49 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -94% |
| Aetna | Medicare | $111.52 | ↓ -94% |
| United Healthcare | Unison Advantage Special Needs | $111.52 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $144.65 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $151.22 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $182.77 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $195.01 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $198.30 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $205.28 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $224.10 | ↓ -88% |
| UPMC Health Plan | Commercial | $241.27 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $283.43 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $609.71 | ↓ -67% |
| Highmark BCBS of PA | Managed Care - Social Mission | $631.06 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $820.33 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $845.14 | ↓ -55% |
| UPMC Health Plan | CHIP | $877.07 | ↓ -53% |
| United Healthcare | Compass Exchange | $1,024.65 | ↓ -45% |
| Aetna | Neighborhood Network | $1,089.86 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,098.65 | ↓ -41% |
| Aetna | EBR FI | $1,179.90 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,186.11 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,210.95 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,210.95 | ↓ -35% |
| Cigna | New Business ASO | $1,210.95 | ↓ -35% |
| United Healthcare | All Business | $1,210.95 | ↓ -35% |
| Aetna | EBR ASO | $1,242.00 | ↓ -33% |
| Cigna | EBR | $1,242.00 | ↓ -33% |
| Cigna | Commercial | $1,242.00 | ↓ -33% |
| InterGroup | PPO | $1,552.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,690.29 | ↓ -9% |
| Coventry/First Health | Commercial | $2,173.50 | ↑ +17% |
| Private Health Care Systems | PPO | $2,484.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
CT neck soft tissue without contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,050.00 | $79.00 – $1,400.00 |
| UPMC Bedford | Everett | $741.00 | $36.58 – $1,111.50 |
| UPMC Carlisle | Carlisle | $796.80 | $30.55 – $584.67 |
| UPMC Cole | Coudersport | $742.20 | $138.07 – $989.60 |
| UPMC Community Osteopathic | Harrisburg | $796.80 | $44.60 – $877.07 |
| UPMC Hamot | Erie | $1,464.60 | $117.01 – $609.71 |
| UPMC Northwest | Seneca | $1,226.40 | $91.94 – $577.46 |
| UPMC Hanover | Hanover | $796.80 | $100.57 – $604.32 |