External recharg sys intern at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$4,392.60
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.
$7,321.00
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.
$57.56 with UPMC Work Partners vs $9,874.89 with UPMC Health Plan — 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 Work Partners | Workers Comp | $57.56 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $61.44 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $176.91 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $177.82 | ↓ -96% |
| Highmark BCBS of PA | Managed Care | $236.92 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity | $238.15 | ↓ -95% |
| Highmark BCBS of PA | UPMC Emergent | $473.84 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,390.99 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,610.62 | ↓ -63% |
| Aetna | Medicare | $1,830.25 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $2,415.93 | ↓ -45% |
| United Healthcare | Compass Exchange | $2,415.93 | ↓ -45% |
| Aetna | Neighborhood Network | $2,569.67 | ↓ -42% |
| Aetna | EBR FI | $2,781.98 | ↓ -37% |
| Aetna | Home Depot Employer Group | $2,796.62 | ↓ -36% |
| Cigna | NBR ASO/FI | $2,855.19 | ↓ -35% |
| United Healthcare | All Business | $2,855.19 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,855.19 | ↓ -35% |
| Cigna | New Business ASO | $2,855.19 | ↓ -35% |
| Cigna | EBR | $2,928.40 | ↓ -33% |
| Aetna | EBR ASO | $2,928.40 | ↓ -33% |
| Cigna | Commercial | $2,928.40 | ↓ -33% |
| InterGroup | PPO | $3,660.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,660.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $4,026.55 | ↓ -8% |
| Coventry/First Health | Commercial | $5,124.70 | ↑ +17% |
| Private Health Care Systems | PPO | $5,856.80 | ↑ +33% |
| UPMC Health Plan | CHIP | $8,137.53 | ↑ +85% |
| UPMC Health Plan | Commercial | $9,874.89 | ↑ +125% |
Visitor-reported prices
Comments
External recharg sys intern at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,349.80 | $57.56 – $8,137.53 |
| UPMC McKeesport | Mckeesport | $3,688.20 | $57.56 – $8,137.53 |
| UPMC Mercy | Pittsburgh | $4,144.20 | $57.56 – $6,425.74 |
| UPMC Muncy | Muncy | $4,167.60 | $57.56 – $61.58 |
| UPMC Passavant-McCandless | Pittsburgh | $6,835.20 | $57.56 – $11,808.57 |
| UPMC St. Margaret | Pittsburgh | $3,816.00 | $57.56 – $9,985.33 |