Ghs intro needle/intracath vein - 36000 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
not published by hospital
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.
not published by hospital
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.
$8.89 with UPMC Health Plan vs $559.55 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 | $8.89 | — |
| United Healthcare Community Plan for Families | Unison Kids | $9.29 | — |
| Geisinger | Medicaid/CHIP | $11.23 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.98 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $12.18 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.61 | — |
| PA Health & Wellness | PA Medicaid HMO | $13.77 | — |
| UPMC Work Partners | Workers Comp | $82.27 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $93.83 | — |
| UPMC Health Plan | Commercial | $171.89 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $208.91 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $271.56 | — |
| Highmark BCBS of PA | Managed Care | $279.77 | — |
| UPMC Health Plan | CHIP | $300.89 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $363.69 | — |
| Highmark BCBS of PA | UPMC Emergent | $559.55 | — |
Visitor-reported prices
Comments
Ghs intro needle/intracath vein - 36000 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $226.80 | $8.48 – $134.23 |
| UPMC Kane | Kane | $595.20 | $8.89 – $148.28 |
| UPMC McKeesport | Mckeesport | $489.60 | $8.89 – $93.83 |
| UPMC Mercy | Pittsburgh | $406.80 | $8.89 – $92.94 |
| UPMC Muncy | Muncy | $118.20 | $8.89 – $993.28 |
| UPMC Wellsboro | Wellsboro | $143.20 | $8.89 – $993.28 |
| WellSpan Chambersburg Hospital | Chambersburg | $100.80 | $10.10 – $90.72 |
| WellSpan Ephrata Community Hospital | Ephrata | $100.80 | $10.10 – $27.47 |