Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at UPMC East

2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 13, 2026

$3,205.20

Cash price

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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.

$5,342.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$52.82 with UPMC Health Plan vs $4,989.94 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 →

Payer
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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
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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 $52.82 ↓ -98%
United Healthcare Community Plan for Families Unison Kids $55.22 ↓ -98%
Geisinger Medicaid/CHIP $66.74 ↓ -98%
Highmark Wholecare (prev Gateway) Medicaid $71.21 ↓ -98%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $72.41 ↓ -98%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $74.96 ↓ -98%
PA Health & Wellness PA Medicaid HMO $81.84 ↓ -97%
UPMC Work Partners Workers Comp $257.11 ↓ -92%
Highmark BCBS of PA Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage $626.83 ↓ -80%
Aetna Medicare $1,335.50 ↓ -58%
Highmark BCBS of PA Managed Care - Social Mission $1,395.65 ↓ -56%
United Healthcare Compass Exchange $1,762.86 ↓ -45%
Highmark BCBS of PA Commercial - Social Mission Indemnity $1,814.24 ↓ -43%
Highmark BCBS of PA Managed Care $1,869.12 ↓ -42%
Aetna Neighborhood Network $1,875.04 ↓ -42%
Aetna EBR FI $2,029.96 ↓ -37%
Aetna Home Depot Employer Group $2,040.64 ↓ -36%
Cigna NBR ASO/FI $2,083.38 ↓ -35%
United Healthcare All Business $2,083.38 ↓ -35%
Aetna NBR ASO/FI $2,083.38 ↓ -35%
Cigna New Business ASO $2,083.38 ↓ -35%
Cigna EBR $2,136.80 ↓ -33%
Aetna EBR ASO $2,136.80 ↓ -33%
Cigna Commercial $2,136.80 ↓ -33%
Highmark BCBS of PA Commercial - Indemnity $2,429.77 ↓ -24%
UPMC Health Plan Commercial $2,620.25 ↓ -18%
InterGroup PPO $2,671.00 ↓ -17%
Highmark Wholecare (prev Gateway) Medicare $2,671.00 ↓ -17%
Highmark BCBS of PA UPMC Emergent $3,738.24 ↑ +17%
Coventry/First Health Commercial $3,739.40 ↑ +17%
Private Health Care Systems PPO $4,273.60 ↑ +33%
UPMC Health Plan CHIP $4,989.94 ↑ +56%

Visitor-reported prices

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Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $2,224.80 $60.99 – $9,539.00
UPMC Cole Coudersport $133.20 $50.42 – $771.51
UPMC Community Osteopathic Harrisburg $2,224.80 $62.91 – $4,989.94
UPMC Northwest Seneca $4,393.20 $52.82 – $1,611.51
UPMC Hanover Hanover $2,224.80 $60.99 – $269.06
UPMC Horizon-Greenville Greenville $2,267.40 $50.42 – $1,207.96
UPMC Jameson New Castle $2,267.40 $50.87 – $631.87
UPMC Kane Kane $236.40 $52.82 – $1,000.23

All Pennsylvania hospitals for this procedure →