Ghs chemo IV push, ea addtl at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$378.00
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.
$630.00
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.
$58.18 with UPMC Health Plan vs $932.77 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 | $58.18 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $60.82 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $68.03 | ↓ -82% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $69.32 | ↓ -82% |
| United Healthcare | Unison Advantage Non Special Needs | $71.24 | ↓ -81% |
| Aetna of PA | Medicare | $71.24 | ↓ -81% |
| United Healthcare | Medicare | $72.60 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $73.27 | ↓ -81% |
| Cigna | Medicare | $73.28 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $73.28 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $73.28 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $73.51 | ↓ -81% |
| Aetna | Medicare | $74.64 | ↓ -80% |
| United Healthcare | Unison Advantage Special Needs | $74.64 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $78.44 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $79.76 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $82.57 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $90.14 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $108.14 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $120.94 | ↓ -68% |
| United Healthcare | Compass Exchange | $207.90 | ↓ -45% |
| UPMC Health Plan | CHIP | $215.32 | ↓ -43% |
| Aetna | Neighborhood Network | $221.13 | ↓ -42% |
| Aetna | EBR FI | $239.40 | ↓ -37% |
| Aetna | Home Depot Employer Group | $240.66 | ↓ -36% |
| Cigna | NBR ASO/FI | $245.70 | ↓ -35% |
| United Healthcare | All Business | $245.70 | ↓ -35% |
| Aetna | NBR ASO/FI | $245.70 | ↓ -35% |
| Cigna | New Business ASO | $245.70 | ↓ -35% |
| Aetna | EBR ASO | $252.00 | ↓ -33% |
| Cigna | Commercial | $252.00 | ↓ -33% |
| Cigna | EBR | $252.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $261.29 | ↓ -31% |
| InterGroup | PPO | $315.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $348.26 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $350.04 | ↓ -7% |
| Coventry/First Health | Commercial | $441.00 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $466.39 | ↑ +23% |
| Highmark BCBS of PA | Commercial - Indemnity | $468.80 | ↑ +24% |
| Private Health Care Systems | PPO | $504.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $932.77 | ↑ +147% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ghs chemo IV push, ea addtl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $369.60 | $52.89 – $492.80 |
| UPMC Carlisle | Carlisle | $526.20 | $67.17 – $745.45 |
| UPMC Cole | Coudersport | $246.00 | $55.53 – $328.00 |
| UPMC Community Osteopathic | Harrisburg | $526.20 | $67.17 – $745.45 |
| UPMC Hamot | Erie | $158.40 | $58.18 – $108.14 |
| UPMC Northwest | Seneca | $378.00 | $58.18 – $108.14 |
| UPMC Hanover | Hanover | $526.20 | $67.17 – $113.17 |
| UPMC Horizon-Greenville | Greenville | $568.20 | $55.53 – $127.32 |