Eeg wo vid ea 12-26hr unmntr at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,126.20
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.
$1,877.00
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.
$117.28 with Highmark BCBS of PA vs $1,501.60 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 | $117.28 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $132.00 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $138.00 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $166.79 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $177.96 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $180.96 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $187.33 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $204.50 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $306.34 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $339.45 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $410.29 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Indemnity | $454.62 | ↓ -60% |
| UPMC Health Plan | Managed Medicare | $507.23 | ↓ -55% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $516.79 | ↓ -54% |
| United Healthcare | Unison Advantage Non Special Needs | $531.15 | ↓ -53% |
| Aetna of PA | Medicare | $531.15 | ↓ -53% |
| United Healthcare | Medicare | $541.27 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $546.28 | ↓ -51% |
| Cigna | Medicare | $546.33 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $546.33 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $546.33 | ↓ -51% |
| United Healthcare | Unison Advantage Special Needs | $556.45 | ↓ -51% |
| Aetna | Medicare | $556.45 | ↓ -51% |
| United Healthcare | Compass Exchange | $619.41 | ↓ -45% |
| Aetna | Neighborhood Network | $658.83 | ↓ -41% |
| UPMC Health Plan | CHIP | $702.07 | ↓ -38% |
| Aetna | EBR FI | $713.26 | ↓ -37% |
| Aetna | Home Depot Employer Group | $717.01 | ↓ -36% |
| Aetna | NBR ASO/FI | $732.03 | ↓ -35% |
| United Healthcare | All Business | $732.03 | ↓ -35% |
| Cigna | NBR ASO/FI | $732.03 | ↓ -35% |
| Cigna | New Business ASO | $732.03 | ↓ -35% |
| Cigna | EBR | $750.80 | ↓ -33% |
| Aetna | EBR ASO | $750.80 | ↓ -33% |
| Cigna | Commercial | $750.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $820.58 | ↓ -27% |
| UPMC Health Plan | Commercial | $851.96 | ↓ -24% |
| InterGroup | PPO | $938.50 | ↓ -17% |
| Coventry/First Health | Commercial | $1,313.90 | ↑ +17% |
| Private Health Care Systems | PPO | $1,501.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Eeg wo vid ea 12-26hr unmntr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,065.60 | $116.17 – $1,420.80 |
| UPMC Carlisle | Carlisle | $1,773.60 | $152.40 – $2,512.60 |
| UPMC Community Osteopathic | Harrisburg | $1,773.60 | $152.40 – $2,512.60 |
| UPMC Hamot | Erie | $1,178.40 | $116.17 – $720.95 |
| UPMC Northwest | Seneca | $1,126.20 | $132.00 – $531.15 |
| UPMC Hanover | Hanover | $1,773.60 | $152.40 – $811.01 |
| UPMC Lititz | Lititz | $1,773.60 | $152.40 – $815.39 |
| UPMC Magee | Pittsburgh | $1,062.60 | $117.28 – $546.33 |