Dstrj nulyt agt gnclr nrv at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,961.20
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.
$6,602.00
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.
$224.43 with Highmark BCBS of PA vs $5,281.60 with Private Health Care Systems — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $224.43 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $480.33 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $499.70 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $649.57 | ↓ -84% |
| Highmark BCBS of PA | Managed Care | $669.22 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity | $869.96 | ↓ -78% |
| UPMC Health Plan | Commercial | $1,090.73 | ↓ -72% |
| Highmark BCBS of PA | UPMC Emergent | $1,338.44 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $1,866.76 | ↓ -53% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,901.94 | ↓ -52% |
| UPMC Health Plan | CHIP | $1,909.32 | ↓ -52% |
| United Healthcare | Unison Advantage Non Special Needs | $1,954.82 | ↓ -51% |
| Aetna of PA | Medicare | $1,954.82 | ↓ -51% |
| United Healthcare | Medicare | $1,992.05 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,010.48 | ↓ -49% |
| Cigna | Medicare | $2,010.67 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,010.67 | ↓ -49% |
| AmeriHealth Caritas | Medicare | $2,010.67 | ↓ -49% |
| United Healthcare | Unison Advantage Special Needs | $2,047.90 | ↓ -48% |
| Aetna | Medicare | $2,047.90 | ↓ -48% |
| United Healthcare | Compass Exchange | $2,178.66 | ↓ -45% |
| Aetna | Neighborhood Network | $2,317.30 | ↓ -42% |
| Aetna | EBR FI | $2,508.76 | ↓ -37% |
| Aetna | Home Depot Employer Group | $2,521.96 | ↓ -36% |
| Cigna | New Business ASO | $2,574.78 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,574.78 | ↓ -35% |
| Cigna | NBR ASO/FI | $2,574.78 | ↓ -35% |
| United Healthcare | All Business | $2,574.78 | ↓ -35% |
| Aetna | EBR ASO | $2,640.80 | ↓ -33% |
| Cigna | EBR | $2,640.80 | ↓ -33% |
| Cigna | Commercial | $2,640.80 | ↓ -33% |
| InterGroup | PPO | $3,301.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $3,631.10 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $3,631.10 | ↓ -8% |
| Coventry/First Health | Commercial | $4,621.40 | ↑ +17% |
| Private Health Care Systems | PPO | $5,281.60 | ↑ +33% |
Visitor-reported prices
Comments
Dstrj nulyt agt gnclr nrv at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,661.00 | $502.67 – $8,019.75 |
| UPMC Cole | Coudersport | $219.60 | $98.03 – $480.33 |
| UPMC Community Osteopathic | Harrisburg | $5,661.00 | $502.67 – $8,019.75 |
| UPMC Northwest | Seneca | $1,400.40 | $480.33 – $2,010.67 |
| UPMC Hanover | Hanover | $5,661.00 | $502.67 – $2,984.77 |
| UPMC Horizon-Greenville | Greenville | $1,033.80 | $432.50 – $2,010.67 |
| UPMC Jameson | New Castle | $1,033.80 | $226.24 – $2,513.34 |
| UPMC Lititz | Lititz | $5,661.00 | $502.67 – $3,000.90 |