Expander breast 300cc mod hght extra proj smth natrelle at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,675.40
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.
$4,459.00
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.
$715.73 with Health Partners Plans (Jefferson Health Plan) vs $6,725.51 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $715.73 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $828.74 | ↓ -69% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $872.01 | ↓ -67% |
| Aetna | Medicare | $941.75 | ↓ -65% |
| PA Health & Wellness | PA Medicaid HMO | $1,243.11 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $1,243.11 | ↓ -54% |
| United Healthcare | Compass Exchange | $1,243.11 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,274.38 | ↓ -52% |
| Aetna | Neighborhood Network | $1,322.22 | ↓ -51% |
| Aetna | EBR FI | $1,431.46 | ↓ -46% |
| Aetna | Home Depot Employer Group | $1,438.99 | ↓ -46% |
| Cigna | NBR ASO/FI | $1,469.13 | ↓ -45% |
| United Healthcare | All Business | $1,469.13 | ↓ -45% |
| Aetna | NBR ASO/FI | $1,469.13 | ↓ -45% |
| Cigna | New Business ASO | $1,469.13 | ↓ -45% |
| Cigna | Commercial | $1,506.80 | ↓ -44% |
| Aetna | EBR ASO | $1,506.80 | ↓ -44% |
| Cigna | EBR | $1,506.80 | ↓ -44% |
| InterGroup | PPO | $1,883.50 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,883.50 | ↓ -30% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,511.01 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,523.88 | ↓ -6% |
| Coventry/First Health | Commercial | $2,636.90 | ↓ -1% |
| Private Health Care Systems | PPO | $3,013.60 | ↑ +13% |
| Highmark BCBS of PA | Managed Care | $3,362.76 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,380.18 | ↑ +26% |
| UPMC Health Plan | CHIP | $3,464.72 | ↑ +30% |
| UPMC Health Plan | Commercial | $4,204.44 | ↑ +57% |
| Highmark BCBS of PA | UPMC Emergent | $6,725.51 | ↑ +151% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Expander breast 300cc mod hght extra proj smth natrelle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,472.60 | $563.73 – $3,464.72 |
| UPMC Hamot | Erie | $3,432.00 | $863.78 – $863.78 |
| UPMC Horizon-Greenville | Greenville | $2,089.20 | $2,201.42 – $3,464.72 |
| UPMC Jameson | New Castle | $2,524.20 | $368.37 – $3,464.72 |
| UPMC Magee | Pittsburgh | $3,118.20 | $405.21 – $3,464.72 |
| UPMC Mercy | Pittsburgh | $2,469.60 | $863.78 – $2,735.89 |
| UPMC Muncy | Muncy | $2,967.60 | $82.80 – $496.80 |
| UPMC Passavant-McCandless | Pittsburgh | $2,941.80 | $872.01 – $5,027.74 |