Cutter lead at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,460.60
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.
$4,101.00
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.
$186.50 with Aetna vs $2,344.59 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 |
|---|---|---|---|
| Aetna | Medicare | $186.50 | ↓ -92% |
| United Healthcare | Compass Exchange | $246.18 | ↓ -90% |
| Aetna | Neighborhood Network | $261.85 | ↓ -89% |
| Aetna | EBR FI | $283.48 | ↓ -88% |
| Aetna | Home Depot Employer Group | $284.97 | ↓ -88% |
| Cigna | NBR ASO/FI | $290.94 | ↓ -88% |
| Cigna | New Business ASO | $290.94 | ↓ -88% |
| Aetna | NBR ASO/FI | $290.94 | ↓ -88% |
| United Healthcare | All Business | $290.94 | ↓ -88% |
| Cigna | Commercial | $298.40 | ↓ -88% |
| Aetna | EBR ASO | $298.40 | ↓ -88% |
| Cigna | EBR | $298.40 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $303.99 | ↓ -88% |
| InterGroup | PPO | $373.00 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $373.00 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $410.30 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $410.30 | ↓ -83% |
| Coventry/First Health | Commercial | $522.20 | ↓ -79% |
| Private Health Care Systems | PPO | $596.80 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $875.37 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $879.85 | ↓ -64% |
| UPMC Health Plan | CHIP | $1,087.91 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $1,172.30 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,178.37 | ↓ -52% |
| UPMC Health Plan | Commercial | $1,320.18 | ↓ -46% |
| Highmark BCBS of PA | UPMC Emergent | $2,344.59 | ↓ -5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cutter lead at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,585.80 | $88.00 – $1,087.91 |
| UPMC Cole | Coudersport | $621.00 | $196.65 – $828.00 |
| UPMC Community Osteopathic | Harrisburg | $1,505.40 | $250.60 – $1,585.06 |
| UPMC Hamot | Erie | $2,259.00 | $301.13 – $301.13 |
| UPMC Northwest | Seneca | $1,829.40 | $781.54 – $1,316.47 |
| UPMC Horizon-Greenville | Greenville | $814.20 | $767.44 – $1,087.91 |
| UPMC Jameson | New Castle | $1,444.80 | $70.00 – $1,087.91 |
| UPMC Magee | Pittsburgh | $2,784.60 | $77.00 – $1,087.91 |