Evaluation of speech fluency 92521 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$361.20
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.
?
What you pay up front if you don't use insurance.
$602.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$82.21 with Highmark BCBS of PA vs $481.60 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $82.21 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $142.76 | ↓ -60% |
| Aetna | Medicare | $150.50 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $155.06 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $191.20 | ↓ -47% |
| United Healthcare | Compass Exchange | $198.66 | ↓ -45% |
| UPMC Health Plan | CHIP | $210.70 | ↓ -42% |
| Aetna | Neighborhood Network | $211.30 | ↓ -42% |
| Aetna | EBR FI | $228.76 | ↓ -37% |
| Aetna | Home Depot Employer Group | $229.96 | ↓ -36% |
| Aetna | NBR ASO/FI | $234.78 | ↓ -35% |
| United Healthcare | All Business | $234.78 | ↓ -35% |
| Cigna | NBR ASO/FI | $234.78 | ↓ -35% |
| Cigna | New Business ASO | $234.78 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $237.94 | ↓ -34% |
| Cigna | EBR | $240.80 | ↓ -33% |
| Cigna | Commercial | $240.80 | ↓ -33% |
| Aetna | EBR ASO | $240.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $295.28 | ↓ -18% |
| InterGroup | PPO | $301.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $301.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $318.67 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $331.10 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $331.10 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $382.40 | ↑ +6% |
| Coventry/First Health | Commercial | $421.40 | ↑ +17% |
| Private Health Care Systems | PPO | $481.60 | ↑ +33% |
Visitor-reported prices
Comments
Evaluation of speech fluency 92521 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $508.20 | $115.69 – $719.95 |
| UPMC Cole | Coudersport | $354.60 | $126.83 – $472.80 |
| UPMC Community Osteopathic | Harrisburg | $508.20 | $115.69 – $719.95 |
| UPMC Hamot | Erie | $508.80 | $81.43 – $289.84 |
| UPMC Northwest | Seneca | $404.40 | $155.06 – $211.35 |
| UPMC Hanover | Hanover | $508.20 | $115.69 – $591.00 |
| UPMC Horizon-Greenville | Greenville | $404.40 | $131.68 – $155.06 |
| UPMC Jameson | New Castle | $463.20 | $82.87 – $155.06 |