Etanercept injection at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,515.20
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.
$1,894.00
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.
$226.52 with UPMC Work Partners vs $2,278.11 with United Healthcare Community Plan for Families — 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 | $226.52 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $245.13 | ↓ -84% |
| United Healthcare | Compass Exchange | $643.96 | ↓ -58% |
| UPMC Health Plan | CHIP | $662.90 | ↓ -56% |
| Aetna | Neighborhood Network | $664.79 | ↓ -56% |
| Highmark BCBS of PA | Managed Care - Social Mission | $705.86 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $709.48 | ↓ -53% |
| Aetna | EBR FI | $719.72 | ↓ -53% |
| Aetna | Home Depot Employer Group | $723.51 | ↓ -52% |
| Cigna | NBR ASO/FI | $738.66 | ↓ -51% |
| Aetna | NBR ASO/FI | $738.66 | ↓ -51% |
| Cigna | New Business ASO | $738.66 | ↓ -51% |
| Aetna | EBR ASO | $757.60 | ↓ -50% |
| Cigna | Commercial | $757.60 | ↓ -50% |
| Cigna | EBR | $757.60 | ↓ -50% |
| United Healthcare | All Business | $757.60 | ↓ -50% |
| UPMC Health Plan | Commercial | $929.01 | ↓ -39% |
| Highmark BCBS of PA | Managed Care | $945.29 | ↓ -38% |
| InterGroup | PPO | $947.00 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Indemnity | $950.19 | ↓ -37% |
| Geisinger | Medicaid/CHIP | $1,041.70 | ↓ -31% |
| PA Health & Wellness | PA Medicaid HMO | $1,041.70 | ↓ -31% |
| UPMC Health Plan | Managed Medicare | $1,083.80 | ↓ -28% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,104.23 | ↓ -27% |
| Aetna of PA | Medicare | $1,134.92 | ↓ -25% |
| United Healthcare | Unison Advantage Non Special Needs | $1,134.92 | ↓ -25% |
| United Healthcare | Medicare | $1,156.54 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,167.24 | ↓ -23% |
| AmeriHealth Caritas | Medicare | $1,167.35 | ↓ -23% |
| Cigna | Medicare | $1,167.35 | ↓ -23% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,167.35 | ↓ -23% |
| United Healthcare | Unison Advantage Special Needs | $1,188.97 | ↓ -22% |
| Aetna | Medicare | $1,188.97 | ↓ -22% |
| Coventry/First Health | Commercial | $1,325.80 | ↓ -13% |
| Private Health Care Systems | PPO | $1,515.20 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $1,890.58 | ↑ +25% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,980.97 | ↑ +31% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $2,080.02 | ↑ +37% |
| United Healthcare Community Plan for Families | Unison Kids | $2,278.11 | ↑ +50% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Etanercept injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,801.80 | $245.13 – $2,179.06 |
| UPMC Mercy | Pittsburgh | $1,119.00 | $242.82 – $2,278.11 |
| UPMC Passavant-McCandless | Pittsburgh | $1,801.80 | $245.13 – $2,080.02 |
| UPMC Presbyterian | Pittsburgh | $1,801.80 | $245.13 – $1,980.97 |
| UPMC St. Margaret | Pittsburgh | $1,801.20 | $245.13 – $2,179.06 |
| UPMC Western Psychiatric | Pittsburgh | $1,801.80 | $240.20 – $1,188.97 |