Endoluminal bx urtr rnl plvs at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,020.20
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.
$3,367.00
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.
$358.62 with Highmark BCBS of PA vs $2,693.60 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 | $358.62 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $680.39 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $798.48 | ↓ -60% |
| Aetna | Medicare | $841.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,037.96 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $1,069.36 | ↓ -47% |
| United Healthcare | Compass Exchange | $1,111.11 | ↓ -45% |
| UPMC Health Plan | CHIP | $1,178.45 | ↓ -42% |
| Aetna | Neighborhood Network | $1,181.82 | ↓ -41% |
| Aetna | EBR FI | $1,279.46 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,286.19 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,313.13 | ↓ -35% |
| United Healthcare | All Business | $1,313.13 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,313.13 | ↓ -35% |
| Cigna | New Business ASO | $1,313.13 | ↓ -35% |
| Cigna | Commercial | $1,346.80 | ↓ -33% |
| Aetna | EBR ASO | $1,346.80 | ↓ -33% |
| Cigna | EBR | $1,346.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,390.12 | ↓ -31% |
| UPMC Health Plan | Commercial | $1,651.51 | ↓ -18% |
| InterGroup | PPO | $1,683.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,683.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $1,851.85 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $1,851.85 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $2,138.71 | ↑ +6% |
| Coventry/First Health | Commercial | $2,356.90 | ↑ +17% |
| Private Health Care Systems | PPO | $2,693.60 | ↑ +33% |
Visitor-reported prices
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Endoluminal bx urtr rnl plvs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $10,866.00 | $355.24 – $775.37 |
| UPMC Presbyterian | Pittsburgh | $10,866.00 | $154.02 – $901.59 |
| UPMC St. Margaret | Pittsburgh | $10,866.00 | $358.62 – $680.39 |
| Uniontown Hospital | Uniontown | $2,772.50 | $124.39 – $258.36 |