Eeg monitor/record/awake/drowsy 95816 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$427.20
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.
$712.00
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.
$24.75 with UPMC Health Plan vs $582.15 with Highmark BCBS of PA — 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 | $24.75 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $25.88 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $31.27 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $33.37 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $33.93 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $35.12 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $38.34 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $83.20 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $217.33 | ↓ -49% |
| United Healthcare | Compass Exchange | $234.96 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $240.82 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $246.79 | ↓ -42% |
| Aetna | Neighborhood Network | $249.91 | ↓ -42% |
| UPMC Health Plan | CHIP | $262.25 | ↓ -39% |
| Aetna | EBR FI | $270.56 | ↓ -37% |
| Aetna | Home Depot Employer Group | $271.98 | ↓ -36% |
| Cigna | NBR ASO/FI | $277.68 | ↓ -35% |
| United Healthcare | All Business | $277.68 | ↓ -35% |
| Aetna | NBR ASO/FI | $277.68 | ↓ -35% |
| Cigna | New Business ASO | $277.68 | ↓ -35% |
| Cigna | Commercial | $284.80 | ↓ -33% |
| Cigna | EBR | $284.80 | ↓ -33% |
| Aetna | EBR ASO | $284.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $291.07 | ↓ -32% |
| UPMC Health Plan | Managed Medicare | $297.68 | ↓ -30% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $303.29 | ↓ -29% |
| United Healthcare | Unison Advantage Non Special Needs | $311.72 | ↓ -27% |
| Aetna of PA | Medicare | $311.72 | ↓ -27% |
| United Healthcare | Medicare | $317.66 | ↓ -26% |
| UPMC Health Plan | Commercial | $318.24 | ↓ -26% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↓ -25% |
| Cigna | Medicare | $320.63 | ↓ -25% |
| AmeriHealth Caritas | Medicare | $320.63 | ↓ -25% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $320.63 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Indemnity | $322.52 | ↓ -25% |
| Aetna | Medicare | $326.57 | ↓ -24% |
| United Healthcare | Unison Advantage Special Needs | $326.57 | ↓ -24% |
| InterGroup | PPO | $356.00 | ↓ -17% |
| Coventry/First Health | Commercial | $498.40 | ↑ +17% |
| Private Health Care Systems | PPO | $569.60 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $582.15 | ↑ +36% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Eeg monitor/record/awake/drowsy 95816 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $448.80 | $13.50 – $598.40 |
| UPMC Carlisle | Carlisle | $615.00 | $17.68 – $871.25 |
| UPMC Cole | Coudersport | $896.40 | $23.62 – $1,195.20 |
| UPMC Community Osteopathic | Harrisburg | $615.00 | $17.68 – $871.25 |
| UPMC Hamot | Erie | $245.40 | $24.75 – $375.76 |
| UPMC Northwest | Seneca | $584.40 | $24.75 – $311.72 |
| UPMC Hanover | Hanover | $615.00 | $17.68 – $475.97 |
| UPMC Horizon-Greenville | Greenville | $945.60 | $24.75 – $320.63 |