Ghs IV infusion sotrovimab at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,020.00
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.
$1,700.00
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.
$396.00 with UPMC Health Plan vs $6,512.76 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 | $396.00 | ↓ -61% |
| United Healthcare Community Plan for Families | Unison Kids | $414.00 | ↓ -59% |
| Aetna | Medicare | $425.00 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $460.81 | ↓ -55% |
| Geisinger | Medicaid/CHIP | $500.36 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicaid | $533.88 | ↓ -48% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $542.88 | ↓ -47% |
| United Healthcare | Compass Exchange | $561.00 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $562.00 | ↓ -45% |
| Aetna | Neighborhood Network | $596.70 | ↓ -42% |
| PA Health & Wellness | PA Medicaid HMO | $613.51 | ↓ -40% |
| Aetna | EBR FI | $646.00 | ↓ -37% |
| Aetna | Home Depot Employer Group | $649.40 | ↓ -36% |
| Cigna | NBR ASO/FI | $663.00 | ↓ -35% |
| Aetna | NBR ASO/FI | $663.00 | ↓ -35% |
| United Healthcare | All Business | $663.00 | ↓ -35% |
| Cigna | New Business ASO | $663.00 | ↓ -35% |
| Cigna | EBR | $680.00 | ↓ -33% |
| Cigna | Commercial | $680.00 | ↓ -33% |
| Aetna | EBR ASO | $680.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $728.00 | ↓ -29% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $844.42 | ↓ -17% |
| InterGroup | PPO | $850.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $850.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $883.43 | ↓ -13% |
| Coventry/First Health | Commercial | $1,190.00 | ↑ +17% |
| Private Health Care Systems | PPO | $1,360.00 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,431.57 | ↑ +138% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,444.04 | ↑ +140% |
| Highmark BCBS of PA | Managed Care | $3,256.38 | ↑ +219% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,273.26 | ↑ +221% |
| Highmark BCBS of PA | UPMC Emergent | $6,512.76 | ↑ +539% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ghs IV infusion sotrovimab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,020.00 | $360.00 – $1,360.00 |
| UPMC Bedford | Everett | $1,020.00 | $378.00 – $2,319.61 |
| UPMC Carlisle | Carlisle | $1,135.20 | $70.69 – $613.51 |
| UPMC Cole | Coudersport | $1,020.00 | $378.00 – $1,360.00 |
| UPMC Community Osteopathic | Harrisburg | $1,135.20 | $103.20 – $1,392.75 |
| UPMC Hamot | Erie | $1,020.00 | $396.00 – $948.44 |
| UPMC Northwest | Seneca | $1,020.00 | $396.00 – $2,170.93 |
| UPMC Hanover | Hanover | $1,135.20 | $457.20 – $613.51 |