Embolization s&i at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$10,150.80
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.
$16,918.00
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.
$171.10 with UPMC Health Plan vs $13,534.40 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 Health Plan | Managed Medicaid | $171.10 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison Kids | $178.88 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $216.20 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $230.68 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $234.57 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $242.83 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $265.09 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,114.25 | ↓ -89% |
| UPMC Health Plan | Commercial | $1,641.07 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $2,395.85 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,480.91 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,224.99 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $3,322.55 | ↓ -67% |
| UPMC Health Plan | CHIP | $3,500.28 | ↓ -66% |
| Aetna | Medicare | $4,229.50 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,319.17 | ↓ -57% |
| United Healthcare | Compass Exchange | $5,582.94 | ↓ -45% |
| Aetna | Neighborhood Network | $5,938.22 | ↓ -41% |
| Aetna | EBR FI | $6,428.84 | ↓ -37% |
| Aetna | Home Depot Employer Group | $6,462.68 | ↓ -36% |
| United Healthcare | All Business | $6,598.02 | ↓ -35% |
| Cigna | New Business ASO | $6,598.02 | ↓ -35% |
| Cigna | NBR ASO/FI | $6,598.02 | ↓ -35% |
| Aetna | NBR ASO/FI | $6,598.02 | ↓ -35% |
| Highmark BCBS of PA | UPMC Emergent | $6,645.10 | ↓ -35% |
| Aetna | EBR ASO | $6,767.20 | ↓ -33% |
| Cigna | EBR | $6,767.20 | ↓ -33% |
| Cigna | Commercial | $6,767.20 | ↓ -33% |
| InterGroup | PPO | $8,459.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $8,459.00 | ↓ -17% |
| Coventry/First Health | Commercial | $11,842.60 | ↑ +17% |
| Private Health Care Systems | PPO | $13,534.40 | ↑ +33% |
Visitor-reported prices
Comments
Embolization s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,894.00 | $94.04 – $9,192.00 |
| UPMC Carlisle | Carlisle | $5,940.60 | $123.19 – $8,415.85 |
| UPMC Community Osteopathic | Harrisburg | $5,940.60 | $123.19 – $8,415.85 |
| UPMC Hamot | Erie | $3,052.80 | $171.10 – $2,395.85 |
| UPMC Hanover | Hanover | $5,940.60 | $123.19 – $2,317.96 |
| UPMC Lititz | Lititz | $5,940.60 | $123.19 – $2,282.03 |
| UPMC Magee | Pittsburgh | $3,889.80 | $171.10 – $2,395.85 |
| UPMC McKeesport | Mckeesport | $4,752.00 | $171.10 – $2,395.85 |