Embo or occlude vascular arterial s&i at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$12,721.80
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.
$21,203.00
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.
$449.83 with UPMC Health Plan vs $32,075.98 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 | $449.83 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $470.28 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $568.39 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $606.46 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $616.68 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $638.40 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $696.92 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5,378.48 | ↓ -58% |
| United Healthcare | Compass Exchange | $6,996.99 | ↓ -45% |
| UPMC Health Plan | CHIP | $7,421.05 | ↓ -42% |
| Aetna | Neighborhood Network | $7,442.25 | ↓ -42% |
| Aetna | EBR FI | $8,057.14 | ↓ -37% |
| Aetna | Home Depot Employer Group | $8,099.55 | ↓ -36% |
| United Healthcare | All Business | $8,269.17 | ↓ -35% |
| Cigna | New Business ASO | $8,269.17 | ↓ -35% |
| Cigna | NBR ASO/FI | $8,269.17 | ↓ -35% |
| Aetna | NBR ASO/FI | $8,269.17 | ↓ -35% |
| Cigna | EBR | $8,481.20 | ↓ -33% |
| Cigna | Commercial | $8,481.20 | ↓ -33% |
| Aetna | EBR ASO | $8,481.20 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $10,146.49 | ↓ -20% |
| UPMC Health Plan | Commercial | $10,400.07 | ↓ -18% |
| InterGroup | PPO | $10,601.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $11,975.40 | ↓ -6% |
| Coventry/First Health | Commercial | $14,842.10 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $15,567.07 | ↑ +22% |
| Highmark BCBS of PA | Managed Care | $16,037.99 | ↑ +26% |
| Private Health Care Systems | PPO | $16,962.40 | ↑ +33% |
| UPMC Health Plan | Managed Medicare | $17,165.80 | ↑ +35% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $17,489.36 | ↑ +37% |
| United Healthcare | Unison Advantage Non Special Needs | $17,975.56 | ↑ +41% |
| Aetna of PA | Medicare | $17,975.56 | ↑ +41% |
| United Healthcare | Medicare | $18,317.95 | ↑ +44% |
| Highmark Wholecare (prev Gateway) | Medicare | $18,487.43 | ↑ +45% |
| Cigna | Medicare | $18,489.15 | ↑ +45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18,489.15 | ↑ +45% |
| AmeriHealth Caritas | Medicare | $18,489.15 | ↑ +45% |
| Aetna | Medicare | $18,831.54 | ↑ +48% |
| United Healthcare | Unison Advantage Special Needs | $18,831.54 | ↑ +48% |
| Highmark BCBS of PA | Commercial - Indemnity | $20,848.67 | ↑ +64% |
| Highmark BCBS of PA | UPMC Emergent | $32,075.98 | ↑ +152% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Embo or occlude vascular arterial s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,728.80 | $408.94 – $15,638.40 |
| UPMC Carlisle | Carlisle | $25,921.80 | $519.35 – $36,722.55 |
| UPMC Community Osteopathic | Harrisburg | $25,921.80 | $552.07 – $36,722.55 |
| UPMC Hamot | Erie | $12,810.60 | $449.83 – $21,338.79 |
| UPMC Hanover | Hanover | $25,921.80 | $519.35 – $27,446.48 |
| UPMC Jameson | New Castle | $25,714.80 | $449.83 – $23,111.43 |
| UPMC Lititz | Lititz | $25,921.80 | $519.35 – $27,594.74 |
| UPMC Magee | Pittsburgh | $12,721.80 | $449.83 – $18,489.15 |