Event monitor at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$430.80
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.
?
What you pay up front if you don't use insurance.
$718.00
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.
$16.17 with UPMC Health Plan vs $588.58 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $16.17 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $16.91 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $20.43 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.80 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $22.17 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.95 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $25.05 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $35.65 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $36.32 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $37.33 | ↓ -91% |
| Aetna of PA | Medicare | $37.33 | ↓ -91% |
| United Healthcare | Medicare | $38.04 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $38.39 | ↓ -91% |
| Cigna | Medicare | $38.39 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $38.39 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $38.39 | ↓ -91% |
| Aetna | Medicare | $39.10 | ↓ -91% |
| United Healthcare | Unison Advantage Special Needs | $39.10 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $84.12 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $114.81 | ↓ -73% |
| UPMC Health Plan | CHIP | $119.67 | ↓ -72% |
| UPMC Health Plan | Commercial | $145.22 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $219.73 | ↓ -49% |
| United Healthcare | Compass Exchange | $236.94 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $243.48 | ↓ -43% |
| Aetna | Neighborhood Network | $252.02 | ↓ -41% |
| Aetna | EBR FI | $272.84 | ↓ -37% |
| Aetna | Home Depot Employer Group | $274.28 | ↓ -36% |
| Cigna | NBR ASO/FI | $280.02 | ↓ -35% |
| Aetna | NBR ASO/FI | $280.02 | ↓ -35% |
| United Healthcare | All Business | $280.02 | ↓ -35% |
| Cigna | New Business ASO | $280.02 | ↓ -35% |
| Aetna | EBR ASO | $287.20 | ↓ -33% |
| Cigna | Commercial | $287.20 | ↓ -33% |
| Cigna | EBR | $287.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $294.29 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $326.09 | ↓ -24% |
| InterGroup | PPO | $359.00 | ↓ -17% |
| Coventry/First Health | Commercial | $502.60 | ↑ +17% |
| Private Health Care Systems | PPO | $574.40 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $588.58 | ↑ +37% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Event monitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $601.20 | $14.70 – $801.60 |
| UPMC Bedford | Everett | $597.60 | $12.83 – $896.40 |
| UPMC Cole | Coudersport | $207.00 | $10.14 – $276.00 |
| UPMC Hamot | Erie | $526.80 | $16.17 – $114.81 |
| UPMC Northwest | Seneca | $228.60 | $16.17 – $104.69 |
| UPMC Hanover | Hanover | $130.80 | $18.67 – $109.56 |
| UPMC Horizon-Greenville | Greenville | $463.20 | $16.17 – $104.69 |
| UPMC Jameson | New Castle | $237.60 | $16.17 – $104.69 |