Generator emblem MRI sicd subq at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$135,789.00
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.
$226,315.00
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.
$11,540.98 with Health Partners Plans (Jefferson Health Plan) vs $129,390.16 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 | $11,540.98 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $13,363.24 | ↓ -90% |
| Aetna | Medicare | $15,185.50 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16,776.34 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $20,044.86 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $20,044.86 | ↓ -85% |
| United Healthcare | Compass Exchange | $20,044.86 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20,549.02 | ↓ -85% |
| Aetna | Neighborhood Network | $21,320.44 | ↓ -84% |
| Aetna | EBR FI | $23,081.96 | ↓ -83% |
| Aetna | Home Depot Employer Group | $23,203.44 | ↓ -83% |
| Cigna | NBR ASO/FI | $23,689.38 | ↓ -83% |
| United Healthcare | All Business | $23,689.38 | ↓ -83% |
| Aetna | NBR ASO/FI | $23,689.38 | ↓ -83% |
| Cigna | New Business ASO | $23,689.38 | ↓ -83% |
| Cigna | Commercial | $24,296.80 | ↓ -82% |
| Aetna | EBR ASO | $24,296.80 | ↓ -82% |
| Cigna | EBR | $24,296.80 | ↓ -82% |
| InterGroup | PPO | $30,371.00 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $30,371.00 | ↓ -78% |
| Coventry/First Health | Commercial | $42,519.40 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $48,308.53 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $48,556.18 | ↓ -64% |
| Private Health Care Systems | PPO | $48,593.60 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $64,695.08 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity | $65,030.34 | ↓ -52% |
| UPMC Health Plan | CHIP | $68,685.90 | ↓ -49% |
| UPMC Health Plan | Commercial | $83,350.34 | ↓ -39% |
| Highmark BCBS of PA | UPMC Emergent | $129,390.16 | ↓ -5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Generator emblem MRI sicd subq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $58,640.40 | $0.19 – $68,685.90 |
| UPMC Community Osteopathic | Harrisburg | $29,232.00 | $9,744.00 – $87,473.89 |
| UPMC Hamot | Erie | $97,435.80 | $16,618.10 – $16,618.10 |
| UPMC Memorial | York | $29,232.00 | $3,988.80 – $68,685.90 |
| UPMC Mercy | Pittsburgh | $47,875.80 | $16,618.10 – $54,237.33 |
| UPMC Passavant-McCandless | Pittsburgh | $96,952.20 | $16,776.34 – $99,671.83 |
| UPMC Presbyterian | Pittsburgh | $128,662.20 | $16,776.34 – $111,052.84 |
| UPMC Somerset | Somerset | $29,232.00 | $16,450.02 – $41,140.40 |