Expander tiss 133s-mv-12-t 300ml natrelle smth at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,841.00
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.
$4,735.00
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.
$572.09 with Health Partners Plans (Jefferson Health Plan) vs $4,497.42 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $572.09 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $583.12 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $662.42 | ↓ -77% |
| Aetna | Medicare | $752.75 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $993.63 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $993.63 | ↓ -65% |
| United Healthcare | Compass Exchange | $993.63 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,018.62 | ↓ -64% |
| Aetna | Neighborhood Network | $1,056.86 | ↓ -63% |
| Aetna | EBR FI | $1,144.18 | ↓ -60% |
| Aetna | Home Depot Employer Group | $1,150.20 | ↓ -60% |
| Cigna | NBR ASO/FI | $1,174.29 | ↓ -59% |
| United Healthcare | All Business | $1,174.29 | ↓ -59% |
| Aetna | NBR ASO/FI | $1,174.29 | ↓ -59% |
| Cigna | New Business ASO | $1,174.29 | ↓ -59% |
| Cigna | Commercial | $1,204.40 | ↓ -58% |
| Aetna | EBR ASO | $1,204.40 | ↓ -58% |
| Cigna | EBR | $1,204.40 | ↓ -58% |
| InterGroup | PPO | $1,505.50 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,505.50 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,679.14 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,687.75 | ↓ -41% |
| Coventry/First Health | Commercial | $2,107.70 | ↓ -26% |
| Highmark BCBS of PA | Managed Care | $2,248.71 | ↓ -21% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,260.36 | ↓ -20% |
| Private Health Care Systems | PPO | $2,408.80 | ↓ -15% |
| UPMC Health Plan | CHIP | $3,518.26 | ↑ +24% |
| UPMC Health Plan | Commercial | $4,269.40 | ↑ +50% |
| Highmark BCBS of PA | UPMC Emergent | $4,497.42 | ↑ +58% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Expander tiss 133s-mv-12-t 300ml natrelle smth at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,798.80 | $143.64 – $3,518.26 |
| UPMC Hamot | Erie | $3,733.80 | $577.62 – $577.62 |
| UPMC Northwest | Seneca | $3,237.00 | $1,499.15 – $4,257.40 |
| UPMC Magee | Pittsburgh | $5,923.80 | $442.55 – $3,518.26 |
| UPMC McKeesport | Mckeesport | $2,529.00 | $442.55 – $3,518.26 |
| UPMC Mercy | Pittsburgh | $2,730.60 | $577.62 – $2,778.17 |
| UPMC Muncy | Muncy | $3,449.40 | $113.40 – $680.40 |
| UPMC Passavant-McCandless | Pittsburgh | $5,235.60 | $583.12 – $5,105.43 |