Debride nail1-5 11720 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$197.40
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.
$329.00
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.
$17.13 with UPMC Health Plan vs $303.02 with UPMC Health Plan — 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 | $17.13 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $17.91 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $21.64 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $23.09 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $23.48 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $24.31 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $26.53 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $47.19 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $56.78 | ↓ -71% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $57.85 | ↓ -71% |
| Aetna of PA | Medicare | $59.46 | ↓ -70% |
| United Healthcare | Unison Advantage Non Special Needs | $59.46 | ↓ -70% |
| United Healthcare | Medicare | $60.59 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $60.88 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.16 | ↓ -69% |
| Cigna | Medicare | $61.16 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -69% |
| United Healthcare | Unison Advantage Special Needs | $62.29 | ↓ -68% |
| Aetna | Medicare | $62.29 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $105.08 | ↓ -47% |
| United Healthcare | Compass Exchange | $108.57 | ↓ -45% |
| Aetna | Neighborhood Network | $115.48 | ↓ -41% |
| Aetna | EBR FI | $125.02 | ↓ -37% |
| Aetna | Home Depot Employer Group | $125.68 | ↓ -36% |
| Aetna | NBR ASO/FI | $128.31 | ↓ -35% |
| Cigna | NBR ASO/FI | $128.31 | ↓ -35% |
| Cigna | New Business ASO | $128.31 | ↓ -35% |
| United Healthcare | All Business | $128.31 | ↓ -35% |
| Aetna | EBR ASO | $131.60 | ↓ -33% |
| Cigna | Commercial | $131.60 | ↓ -33% |
| Cigna | EBR | $131.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $136.59 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $140.73 | ↓ -29% |
| UPMC Health Plan | Commercial | $161.37 | ↓ -18% |
| InterGroup | PPO | $164.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $182.94 | ↓ -7% |
| Coventry/First Health | Commercial | $230.30 | ↑ +17% |
| Private Health Care Systems | PPO | $263.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $281.45 | ↑ +43% |
| UPMC Health Plan | CHIP | $303.02 | ↑ +54% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Debride nail1-5 11720 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $172.20 | $15.57 – $229.60 |
| UPMC Bedford | Everett | $330.00 | $16.35 – $495.00 |
| UPMC Carlisle | Carlisle | $232.20 | $19.77 – $328.95 |
| UPMC Cole | Coudersport | $97.80 | $16.35 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $232.20 | $19.77 – $328.95 |
| UPMC Hamot | Erie | $379.20 | $17.13 – $82.37 |
| UPMC Northwest | Seneca | $274.20 | $17.13 – $59.46 |
| UPMC Hanover | Hanover | $232.20 | $19.77 – $90.78 |