Dx bronchoscope/lavage 31624 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,761.40
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.
?
What you pay up front if you don't use insurance.
$6,269.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$148.66 with UPMC Health Plan vs $5,015.20 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $148.66 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $155.42 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $187.84 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $200.43 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $203.81 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $210.98 | ↓ -94% |
| UPMC Health Plan | CHIP | $219.97 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $230.32 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $492.70 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $792.58 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $1,648.52 | ↓ -56% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,679.59 | ↓ -55% |
| Aetna of PA | Medicare | $1,726.28 | ↓ -54% |
| United Healthcare | Unison Advantage Non Special Needs | $1,726.28 | ↓ -54% |
| United Healthcare | Medicare | $1,759.17 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,764.70 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,775.44 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,775.61 | ↓ -53% |
| Cigna | Medicare | $1,775.61 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $1,775.61 | ↓ -53% |
| Aetna | Medicare | $1,808.49 | ↓ -52% |
| United Healthcare | Unison Advantage Special Needs | $1,808.49 | ↓ -52% |
| United Healthcare | Compass Exchange | $2,068.77 | ↓ -45% |
| Aetna | Neighborhood Network | $2,200.42 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,293.98 | ↓ -39% |
| Highmark BCBS of PA | Managed Care | $2,363.37 | ↓ -37% |
| Aetna | EBR FI | $2,382.22 | ↓ -37% |
| Aetna | Home Depot Employer Group | $2,394.76 | ↓ -36% |
| Cigna | NBR ASO/FI | $2,444.91 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,444.91 | ↓ -35% |
| United Healthcare | All Business | $2,444.91 | ↓ -35% |
| Cigna | New Business ASO | $2,444.91 | ↓ -35% |
| Aetna | EBR ASO | $2,507.60 | ↓ -33% |
| Cigna | Commercial | $2,507.60 | ↓ -33% |
| Cigna | EBR | $2,507.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,072.28 | ↓ -18% |
| UPMC Health Plan | Commercial | $3,074.94 | ↓ -18% |
| InterGroup | PPO | $3,134.50 | ↓ -17% |
| Coventry/First Health | Commercial | $4,388.30 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $4,726.74 | ↑ +26% |
| Private Health Care Systems | PPO | $5,015.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dx bronchoscope/lavage 31624 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,773.00 | $135.15 – $2,364.00 |
| UPMC Bedford | Everett | $4,629.60 | $121.32 – $6,944.40 |
| UPMC Carlisle | Carlisle | $2,168.40 | $171.64 – $3,071.90 |
| UPMC Community Osteopathic | Harrisburg | $2,168.40 | $182.45 – $3,071.90 |
| UPMC Hamot | Erie | $4,190.40 | $148.66 – $2,391.19 |
| UPMC Northwest | Seneca | $4,661.40 | $103.91 – $1,726.28 |
| UPMC Hanover | Hanover | $2,168.40 | $171.64 – $2,635.82 |
| UPMC Jameson | New Castle | $1,897.20 | $148.66 – $2,219.51 |