Egd w/thrml txmnt gerd at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$9,339.60
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.
$15,566.00
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.
$541.08 with UPMC Work Partners vs $12,452.80 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $541.08 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $555.07 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,235.88 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,606.55 | ↓ -83% |
| Highmark BCBS of PA | Managed Care | $1,655.15 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,151.62 | ↓ -77% |
| Highmark BCBS of PA | UPMC Emergent | $3,310.30 | ↓ -65% |
| UPMC Health Plan | Managed Medicare | $3,636.95 | ↓ -61% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,705.51 | ↓ -60% |
| United Healthcare | Unison Advantage Non Special Needs | $3,808.52 | ↓ -59% |
| Aetna of PA | Medicare | $3,808.52 | ↓ -59% |
| United Healthcare | Medicare | $3,881.06 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,916.97 | ↓ -58% |
| AmeriHealth Caritas | Medicare | $3,917.33 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,917.33 | ↓ -58% |
| Cigna | Medicare | $3,917.33 | ↓ -58% |
| United Healthcare | Unison Advantage Special Needs | $3,989.88 | ↓ -57% |
| Aetna | Medicare | $3,989.88 | ↓ -57% |
| United Healthcare | Compass Exchange | $5,136.78 | ↓ -45% |
| Aetna | Neighborhood Network | $5,463.67 | ↓ -41% |
| Aetna | EBR FI | $5,915.08 | ↓ -37% |
| Aetna | Home Depot Employer Group | $5,946.21 | ↓ -36% |
| United Healthcare | All Business | $6,070.74 | ↓ -35% |
| Cigna | New Business ASO | $6,070.74 | ↓ -35% |
| Aetna | NBR ASO/FI | $6,070.74 | ↓ -35% |
| Cigna | NBR ASO/FI | $6,070.74 | ↓ -35% |
| Aetna | EBR ASO | $6,226.40 | ↓ -33% |
| Cigna | Commercial | $6,226.40 | ↓ -33% |
| Cigna | EBR | $6,226.40 | ↓ -33% |
| UPMC Health Plan | CHIP | $6,343.74 | ↓ -32% |
| UPMC Health Plan | Commercial | $7,635.12 | ↓ -18% |
| InterGroup | PPO | $7,783.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $8,561.30 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $8,561.30 | ↓ -8% |
| Coventry/First Health | Commercial | $10,896.20 | ↑ +17% |
| Private Health Care Systems | PPO | $12,452.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Egd w/thrml txmnt gerd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,312.00 | $541.08 – $8,416.00 |
| UPMC Hamot | Erie | $6,406.20 | $541.08 – $5,275.45 |
| UPMC Magee | Pittsburgh | $3,945.00 | $541.08 – $3,989.88 |
| UPMC Mercy | Pittsburgh | $7,006.20 | $549.83 – $3,989.88 |
| UPMC Passavant-McCandless | Pittsburgh | $7,426.80 | $541.08 – $3,989.88 |
| UPMC Presbyterian | Pittsburgh | $9,339.60 | $555.07 – $3,989.88 |
| UPMC Wellsboro | Wellsboro | $7,896.80 | $541.08 – $2,545.95 |
| UPMC Williamsport | Williamsport | $6,529.80 | $541.08 – $3,917.33 |