Dicyclomine injection at UPMC East

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

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

$20.20

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.

$25.25

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.

$2.99 with UPMC Work Partners vs $28.97 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 Work Partners Workers Comp $2.99 ↓ -85%
Highmark BCBS of PA Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage $3.38 ↓ -83%
Aetna Medicare $6.25 ↓ -69%
UPMC Health Plan Managed Medicaid $7.17 ↓ -65%
United Healthcare Compass Exchange $8.50 ↓ -58%
Aetna Neighborhood Network $8.78 ↓ -57%
Aetna EBR FI $9.50 ↓ -53%
Aetna Home Depot Employer Group $9.55 ↓ -53%
Highmark BCBS of PA Managed Care - Social Mission $9.73 ↓ -52%
Cigna New Business ASO $9.75 ↓ -52%
Cigna NBR ASO/FI $9.75 ↓ -52%
Aetna NBR ASO/FI $9.75 ↓ -52%
Highmark BCBS of PA Commercial - Social Mission Indemnity $9.78 ↓ -52%
Cigna Commercial $10.00 ↓ -50%
Aetna EBR ASO $10.00 ↓ -50%
Cigna EBR $10.00 ↓ -50%
United Healthcare All Business $10.00 ↓ -50%
PA Health & Wellness PA Medicaid HMO $11.36 ↓ -44%
Highmark Wholecare (prev Gateway) Medicaid $11.36 ↓ -44%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $11.36 ↓ -44%
Geisinger Medicaid/CHIP $11.36 ↓ -44%
Highmark Wholecare (prev Gateway) Medicare $12.50 ↓ -38%
InterGroup PPO $12.50 ↓ -38%
Highmark BCBS of PA Managed Care $13.03 ↓ -35%
Highmark BCBS of PA Commercial - Indemnity $13.09 ↓ -35%
UPMC Health Plan Commercial $13.97 ↓ -31%
Coventry/First Health Commercial $17.50 ↓ -13%
Private Health Care Systems PPO $20.00 ↓ -1%
Highmark BCBS of PA UPMC Emergent $26.05 ↑ +29%
UPMC Health Plan CHIP $28.97 ↑ +43%

Visitor-reported prices

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Dicyclomine injection at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $195.20 $3.35 – $195.20
UPMC Carlisle Carlisle $25.20 $1.64 – $35.21
UPMC Cole Coudersport $105.00 $11.36 – $140.00
UPMC Community Osteopathic Harrisburg $25.20 $2.40 – $13.97
UPMC Hamot Erie $496.00 $3.35 – $67.98
UPMC Northwest Seneca $84.00 $7.17 – $11.36
UPMC Hanover Hanover $25.20 $11.36 – $35.21
UPMC Horizon-Greenville Greenville $159.20 $7.17 – $14.90

All Pennsylvania hospitals for this procedure →