Ext ecg>48hr<7d scan a/r at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$267.00
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.
$445.00
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.
$40.42 with Highmark BCBS of PA vs $356.00 with Private Health Care Systems — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $40.42 | ↓ -85% |
| UPMC Health Plan | CHIP | $93.24 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $105.58 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $109.34 | ↓ -59% |
| UPMC Health Plan | Commercial | $113.15 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $116.99 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $123.22 | ↓ -54% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $125.54 | ↓ -53% |
| United Healthcare | Unison Advantage Non Special Needs | $129.03 | ↓ -52% |
| Aetna of PA | Medicare | $129.03 | ↓ -52% |
| United Healthcare | Medicare | $131.49 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $132.72 | ↓ -50% |
| Cigna | Medicare | $132.72 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.72 | ↓ -50% |
| United Healthcare | Unison Advantage Special Needs | $135.18 | ↓ -49% |
| Aetna | Medicare | $135.18 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $141.40 | ↓ -47% |
| United Healthcare | Compass Exchange | $146.85 | ↓ -45% |
| Aetna | Neighborhood Network | $156.19 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $156.68 | ↓ -41% |
| Aetna | EBR FI | $169.10 | ↓ -37% |
| Aetna | Home Depot Employer Group | $169.99 | ↓ -36% |
| Cigna | New Business ASO | $173.55 | ↓ -35% |
| Aetna | NBR ASO/FI | $173.55 | ↓ -35% |
| United Healthcare | All Business | $173.55 | ↓ -35% |
| Cigna | NBR ASO/FI | $173.55 | ↓ -35% |
| Cigna | EBR | $178.00 | ↓ -33% |
| Cigna | Commercial | $178.00 | ↓ -33% |
| Aetna | EBR ASO | $178.00 | ↓ -33% |
| UPMC Health Plan | Managed Medicaid | $190.30 | ↓ -29% |
| United Healthcare Community Plan for Families | Unison Kids | $198.95 | ↓ -25% |
| InterGroup | PPO | $222.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $240.45 | ↓ -10% |
| Highmark Wholecare (prev Gateway) | Medicaid | $256.56 | ↓ -4% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $260.88 | ↓ -2% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $270.07 | ↑ +1% |
| Highmark BCBS of PA | UPMC Emergent | $282.80 | ↑ +6% |
| PA Health & Wellness | PA Medicaid HMO | $294.83 | ↑ +10% |
| Coventry/First Health | Commercial | $311.50 | ↑ +17% |
| Private Health Care Systems | PPO | $356.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ext ecg>48hr<7d scan a/r at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $282.00 | $40.04 – $376.00 |
| UPMC Hamot | Erie | $220.20 | $40.04 – $260.88 |
| UPMC Northwest | Seneca | $246.60 | $103.92 – $198.95 |
| UPMC Horizon-Greenville | Greenville | $223.20 | $93.24 – $260.88 |
| UPMC Jameson | New Castle | $223.20 | $40.75 – $240.45 |
| UPMC Magee | Pittsburgh | $259.20 | $40.42 – $294.83 |
| UPMC Mercy | Pittsburgh | $225.60 | $40.04 – $198.95 |
| UPMC Passavant-McCandless | Pittsburgh | $259.20 | $40.42 – $198.95 |