Exemestane, 25 mg at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$75.20
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.
$94.00
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.
$11.24 with UPMC Work Partners vs $97.52 with UPMC Health Plan — 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 | $11.24 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $12.70 | ↓ -83% |
| Aetna | Medicare | $23.50 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $23.78 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $23.90 | ↓ -68% |
| United Healthcare | Compass Exchange | $31.02 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $31.84 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $32.01 | ↓ -57% |
| Aetna | Neighborhood Network | $32.99 | ↓ -56% |
| Aetna | EBR FI | $35.72 | ↓ -53% |
| Aetna | Home Depot Employer Group | $35.91 | ↓ -52% |
| Cigna | New Business ASO | $36.66 | ↓ -51% |
| Cigna | NBR ASO/FI | $36.66 | ↓ -51% |
| United Healthcare | All Business | $36.66 | ↓ -51% |
| Aetna | NBR ASO/FI | $36.66 | ↓ -51% |
| Aetna | EBR ASO | $37.60 | ↓ -50% |
| Cigna | EBR | $37.60 | ↓ -50% |
| Cigna | Commercial | $37.60 | ↓ -50% |
| InterGroup | PPO | $47.00 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $47.00 | ↓ -38% |
| Geisinger | Medicaid/CHIP | $51.70 | ↓ -31% |
| PA Health & Wellness | PA Medicaid HMO | $51.70 | ↓ -31% |
| Highmark BCBS of PA | UPMC Emergent | $63.68 | ↓ -15% |
| Coventry/First Health | Commercial | $65.80 | ↓ -13% |
| Private Health Care Systems | PPO | $75.20 | ↑ +0% |
| UPMC Health Plan | CHIP | $80.36 | ↑ +7% |
| UPMC Health Plan | Commercial | $97.52 | ↑ +30% |
Visitor-reported prices
Comments
Exemestane, 25 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $60.60 | $1.90 – $1.90 |
| UPMC Magee | Pittsburgh | $93.60 | $3.35 – $80.36 |
| UPMC McKeesport | Mckeesport | $60.60 | $1.87 – $80.36 |
| UPMC Mercy | Pittsburgh | $37.20 | $12.58 – $63.46 |
| UPMC Passavant-McCandless | Pittsburgh | $43.20 | $12.70 – $116.61 |
| UPMC Presbyterian | Pittsburgh | $43.20 | $12.70 – $129.93 |
| UPMC St. Margaret | Pittsburgh | $141.60 | $12.70 – $98.61 |
| UPMC Western Psychiatric | Pittsburgh | $43.20 | $12.45 – $12.45 |