Eeg phys/qhp ea incr without vid at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,175.40
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.
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What you pay up front if you don't use insurance.
$1,959.00
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.
$90.90 with Highmark BCBS of PA vs $1,567.20 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 | $90.90 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $140.07 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $146.44 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $176.99 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $188.85 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $192.03 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $193.95 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $198.79 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $217.01 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $237.43 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $263.09 | ↓ -78% |
| Highmark BCBS of PA | Managed Care | $317.99 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $352.35 | ↓ -70% |
| Aetna | Medicare | $489.75 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $635.98 | ↓ -46% |
| United Healthcare | Compass Exchange | $646.47 | ↓ -45% |
| UPMC Health Plan | CHIP | $685.65 | ↓ -42% |
| Aetna | Neighborhood Network | $687.61 | ↓ -41% |
| Aetna | EBR FI | $744.42 | ↓ -37% |
| Aetna | Home Depot Employer Group | $748.34 | ↓ -36% |
| Cigna | NBR ASO/FI | $764.01 | ↓ -35% |
| United Healthcare | All Business | $764.01 | ↓ -35% |
| Aetna | NBR ASO/FI | $764.01 | ↓ -35% |
| Cigna | New Business ASO | $764.01 | ↓ -35% |
| Aetna | EBR ASO | $783.60 | ↓ -33% |
| Cigna | EBR | $783.60 | ↓ -33% |
| Cigna | Commercial | $783.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $960.89 | ↓ -18% |
| InterGroup | PPO | $979.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $979.50 | ↓ -17% |
| Coventry/First Health | Commercial | $1,371.30 | ↑ +17% |
| Private Health Care Systems | PPO | $1,567.20 | ↑ +33% |
Visitor-reported prices
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Eeg phys/qhp ea incr without vid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,108.80 | $90.90 – $217.01 |
| UPMC Passavant-McCandless | Pittsburgh | $1,108.80 | $90.90 – $225.52 |
| UPMC Presbyterian | Pittsburgh | $1,566.60 | $90.90 – $243.12 |