Cv line/pic reposition at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$975.60
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.
$1,626.00
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.
$63.95 with UPMC Health Plan vs $1,629.12 with Aetna — 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 | $63.95 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $66.86 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $80.81 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $86.22 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $87.68 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $90.76 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $99.08 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $246.97 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $299.09 | ↓ -69% |
| United Healthcare | Compass Exchange | $536.58 | ↓ -45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $549.88 | ↓ -44% |
| Aetna | Neighborhood Network | $570.73 | ↓ -41% |
| Aetna | EBR FI | $617.88 | ↓ -37% |
| Aetna | Home Depot Employer Group | $621.13 | ↓ -36% |
| Cigna | NBR ASO/FI | $634.14 | ↓ -35% |
| United Healthcare | All Business | $634.14 | ↓ -35% |
| Aetna | NBR ASO/FI | $634.14 | ↓ -35% |
| Cigna | New Business ASO | $634.14 | ↓ -35% |
| Cigna | Commercial | $650.40 | ↓ -33% |
| Aetna | EBR ASO | $650.40 | ↓ -33% |
| Cigna | EBR | $650.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $714.80 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $736.42 | ↓ -25% |
| UPMC Health Plan | Commercial | $797.55 | ↓ -18% |
| InterGroup | PPO | $813.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $957.32 | ↓ -2% |
| Coventry/First Health | Commercial | $1,138.20 | ↑ +17% |
| Private Health Care Systems | PPO | $1,300.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,472.85 | ↑ +51% |
| UPMC Health Plan | Managed Medicare | $1,485.02 | ↑ +52% |
| UPMC Health Plan | CHIP | $1,509.31 | ↑ +55% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,513.01 | ↑ +55% |
| Aetna of PA | Medicare | $1,555.07 | ↑ +59% |
| United Healthcare | Unison Advantage Non Special Needs | $1,555.07 | ↑ +59% |
| United Healthcare | Medicare | $1,584.69 | ↑ +62% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.35 | ↑ +64% |
| Cigna | Medicare | $1,599.50 | ↑ +64% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↑ +64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,599.50 | ↑ +64% |
| United Healthcare | Unison Advantage Special Needs | $1,629.12 | ↑ +67% |
| Aetna | Medicare | $1,629.12 | ↑ +67% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cv line/pic reposition at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $915.60 | $58.14 – $1,220.80 |
| UPMC Carlisle | Carlisle | $2,472.00 | $73.84 – $3,502.00 |
| UPMC Community Osteopathic | Harrisburg | $2,472.00 | $73.84 – $3,502.00 |
| UPMC Hamot | Erie | $1,029.00 | $63.95 – $2,154.03 |
| UPMC Northwest | Seneca | $1,591.20 | $63.95 – $1,555.07 |
| UPMC Hanover | Hanover | $2,472.00 | $73.84 – $2,374.40 |
| UPMC Horizon-Greenville | Greenville | $1,515.00 | $63.95 – $1,599.50 |
| UPMC Jameson | New Castle | $1,065.60 | $63.95 – $1,999.38 |