Ghs opcc repair cvp w subq port at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,974.40
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.
$6,624.00
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.
$191.51 with UPMC Health Plan vs $5,299.20 with Private Health Care Systems — 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 | $191.51 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $200.22 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $241.98 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $258.19 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $262.54 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $271.79 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $296.70 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $766.97 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $790.16 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $1,485.02 | ↓ -63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,513.01 | ↓ -62% |
| Aetna of PA | Medicare | $1,555.07 | ↓ -61% |
| United Healthcare | Unison Advantage Non Special Needs | $1,555.07 | ↓ -61% |
| United Healthcare | Medicare | $1,584.69 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.35 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,599.50 | ↓ -60% |
| Cigna | Medicare | $1,599.50 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↓ -60% |
| United Healthcare | Unison Advantage Special Needs | $1,629.12 | ↓ -59% |
| Aetna | Medicare | $1,629.12 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,759.31 | ↓ -56% |
| United Healthcare | Compass Exchange | $2,185.92 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,286.97 | ↓ -42% |
| Aetna | Neighborhood Network | $2,325.02 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $2,356.15 | ↓ -41% |
| Aetna | EBR FI | $2,517.12 | ↓ -37% |
| Aetna | Home Depot Employer Group | $2,530.37 | ↓ -36% |
| United Healthcare | All Business | $2,583.36 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,583.36 | ↓ -35% |
| Cigna | NBR ASO/FI | $2,583.36 | ↓ -35% |
| Cigna | New Business ASO | $2,583.36 | ↓ -35% |
| Cigna | EBR | $2,649.60 | ↓ -33% |
| Aetna | EBR ASO | $2,649.60 | ↓ -33% |
| Cigna | Commercial | $2,649.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,062.89 | ↓ -23% |
| UPMC Health Plan | Commercial | $3,249.07 | ↓ -18% |
| InterGroup | PPO | $3,312.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $4,365.31 | ↑ +10% |
| Coventry/First Health | Commercial | $4,636.80 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $4,712.31 | ↑ +19% |
| Private Health Care Systems | PPO | $5,299.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ghs opcc repair cvp w subq port at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,047.80 | $174.10 – $6,730.40 |
| UPMC Carlisle | Carlisle | $3,535.80 | $221.11 – $5,009.05 |
| UPMC Cole | Coudersport | $457.20 | $182.81 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $3,535.80 | $235.03 – $5,009.05 |
| UPMC Hamot | Erie | $1,528.20 | $191.51 – $2,154.03 |
| UPMC Hanover | Hanover | $3,535.80 | $221.11 – $2,374.40 |
| UPMC Lititz | Lititz | $3,535.80 | $221.11 – $2,387.23 |
| UPMC Magee | Pittsburgh | $4,515.00 | $191.51 – $1,599.50 |