Ghs IV thrombolytics - cerebral at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,286.00
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.
?
What you pay up front if you don't use insurance.
$3,810.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$250.33 with UPMC Health Plan vs $3,288.25 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Commercial | $250.33 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $317.08 | ↓ -86% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $323.06 | ↓ -86% |
| Aetna of PA | Medicare | $332.04 | ↓ -85% |
| United Healthcare | Unison Advantage Non Special Needs | $332.04 | ↓ -85% |
| United Healthcare | Medicare | $338.37 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $341.50 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $341.53 | ↓ -85% |
| Cigna | Medicare | $341.53 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $341.53 | ↓ -85% |
| Aetna | Medicare | $347.85 | ↓ -85% |
| United Healthcare | Unison Advantage Special Needs | $347.85 | ↓ -85% |
| UPMC Health Plan | CHIP | $438.20 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $551.37 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $642.37 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,227.65 | ↓ -46% |
| United Healthcare | Compass Exchange | $1,257.30 | ↓ -45% |
| Aetna | Neighborhood Network | $1,337.31 | ↓ -42% |
| Aetna | EBR FI | $1,447.80 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,455.42 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,485.90 | ↓ -35% |
| Cigna | New Business ASO | $1,485.90 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,485.90 | ↓ -35% |
| United Healthcare | All Business | $1,485.90 | ↓ -35% |
| Cigna | Commercial | $1,524.00 | ↓ -33% |
| Aetna | EBR ASO | $1,524.00 | ↓ -33% |
| Cigna | EBR | $1,524.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,595.85 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $1,644.13 | ↓ -28% |
| InterGroup | PPO | $1,905.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $2,095.50 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $2,095.50 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,137.29 | ↓ -7% |
| Coventry/First Health | Commercial | $2,667.00 | ↑ +17% |
| Private Health Care Systems | PPO | $3,048.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $3,288.25 | ↑ +44% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs IV thrombolytics - cerebral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $544.20 | $322.49 – $725.60 |
| UPMC Bedford | Everett | $3,883.80 | $114.10 – $5,825.70 |
| UPMC Carlisle | Carlisle | $1,295.40 | $174.51 – $1,835.15 |
| UPMC Community Osteopathic | Harrisburg | $1,295.40 | $265.80 – $1,835.15 |
| UPMC Hamot | Erie | $3,456.60 | $364.97 – $642.37 |
| UPMC Northwest | Seneca | $1,635.60 | $286.79 – $642.37 |
| UPMC Hanover | Hanover | $1,295.40 | $265.80 – $672.25 |
| UPMC Horizon-Greenville | Greenville | $2,423.40 | $245.48 – $642.37 |