Endovenous rf abl vein addl at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$4,222.20
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.
$7,037.00
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.
$744.73 with UPMC Work Partners vs $5,629.60 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $744.73 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $764.00 | ↓ -82% |
| UPMC Health Plan | CHIP | $976.64 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,701.07 | ↓ -60% |
| Aetna | Medicare | $1,759.25 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,211.26 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $2,278.15 | ↓ -46% |
| United Healthcare | Compass Exchange | $2,322.21 | ↓ -45% |
| Aetna | Neighborhood Network | $2,469.99 | ↓ -41% |
| Aetna | EBR FI | $2,674.06 | ↓ -37% |
| Aetna | Home Depot Employer Group | $2,688.13 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,744.43 | ↓ -35% |
| United Healthcare | All Business | $2,744.43 | ↓ -35% |
| Cigna | NBR ASO/FI | $2,744.43 | ↓ -35% |
| Cigna | New Business ASO | $2,744.43 | ↓ -35% |
| Cigna | Commercial | $2,814.80 | ↓ -33% |
| Aetna | EBR ASO | $2,814.80 | ↓ -33% |
| Cigna | EBR | $2,814.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,961.50 | ↓ -30% |
| UPMC Health Plan | Commercial | $3,451.65 | ↓ -18% |
| InterGroup | PPO | $3,518.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,518.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $3,870.35 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $3,870.35 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $4,556.30 | ↑ +8% |
| Coventry/First Health | Commercial | $4,925.90 | ↑ +17% |
| Private Health Care Systems | PPO | $5,629.60 | ↑ +33% |
Visitor-reported prices
Comments
Endovenous rf abl vein addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $4,155.60 | $744.73 – $1,212.53 |
| UPMC Hanover | Hanover | $3,600.60 | $186.61 – $976.64 |
| UPMC Magee | Pittsburgh | $4,121.40 | $157.55 – $764.00 |
| UPMC McKeesport | Mckeesport | $3,672.00 | $157.55 – $764.00 |
| UPMC Memorial | York | $3,600.60 | $143.23 – $976.64 |
| UPMC Passavant-McCandless | Pittsburgh | $3,909.00 | $441.44 – $865.96 |
| UPMC Presbyterian | Pittsburgh | $3,058.80 | $170.94 – $995.42 |
| UPMC St. Margaret | Pittsburgh | $3,485.40 | $438.32 – $764.00 |