Factor viii recombinant nos at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$7.20
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.
$9.00
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.
$1.02 with UPMC Health Plan vs $19.83 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $1.02 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $1.08 | ↓ -85% |
| United Healthcare | All Business | $1.54 | ↓ -79% |
| United Healthcare | Compass Exchange | $1.54 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $1.61 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $1.61 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.61 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.61 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $1.61 | ↓ -78% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1.64 | ↓ -77% |
| Aetna of PA | Medicare | $1.69 | ↓ -77% |
| United Healthcare | Unison Advantage Non Special Needs | $1.69 | ↓ -77% |
| United Healthcare | Medicare | $1.72 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $1.74 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $1.74 | ↓ -76% |
| Cigna | Medicare | $1.74 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1.74 | ↓ -76% |
| UPMC Health Plan | CHIP | $1.75 | ↓ -76% |
| Aetna | Medicare | $1.77 | ↓ -75% |
| United Healthcare | Unison Advantage Special Needs | $1.77 | ↓ -75% |
| UPMC Health Plan | Commercial | $1.98 | ↓ -73% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2.57 | ↓ -64% |
| Aetna | Neighborhood Network | $3.16 | ↓ -56% |
| Aetna | EBR FI | $3.42 | ↓ -53% |
| Aetna | Home Depot Employer Group | $3.44 | ↓ -52% |
| Cigna | NBR ASO/FI | $3.51 | ↓ -51% |
| Aetna | NBR ASO/FI | $3.51 | ↓ -51% |
| Cigna | New Business ASO | $3.51 | ↓ -51% |
| Aetna | EBR ASO | $3.60 | ↓ -50% |
| Cigna | EBR | $3.60 | ↓ -50% |
| Cigna | Commercial | $3.60 | ↓ -50% |
| InterGroup | PPO | $4.50 | ↓ -38% |
| Coventry/First Health | Commercial | $6.30 | ↓ -13% |
| Private Health Care Systems | PPO | $7.20 | ↑ +0% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7.40 | ↑ +3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7.44 | ↑ +3% |
| Highmark BCBS of PA | Managed Care | $9.91 | ↑ +38% |
| Highmark BCBS of PA | Commercial - Indemnity | $9.97 | ↑ +38% |
| Highmark BCBS of PA | UPMC Emergent | $19.83 | ↑ +175% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Factor viii recombinant nos at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6.00 | $1.02 – $5.60 |
| UPMC Hamot | Erie | $14.40 | $1.02 – $2.17 |
| UPMC Northwest | Seneca | $4.80 | $1.02 – $1.74 |
| UPMC Horizon-Greenville | Greenville | $2.40 | $1.02 – $3.02 |
| UPMC Magee | Pittsburgh | $21.60 | $1.02 – $2.57 |
| UPMC Mercy | Pittsburgh | $13.60 | $1.02 – $2.55 |
| UPMC Passavant-McCandless | Pittsburgh | $21.60 | $1.02 – $2.57 |
| UPMC Presbyterian | Pittsburgh | $21.60 | $1.02 – $2.57 |