Ghs vaginal delivery only at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$6,165.00
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.
$10,275.00
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.
$635.25 with UPMC Health Plan vs $8,863.05 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 | Commercial | $635.25 | ↓ -90% |
| UPMC Health Plan | CHIP | $1,111.99 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,486.15 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $2,456.98 | ↓ -60% |
| UPMC Health Plan | Managed Medicare | $3,039.48 | ↓ -51% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,096.78 | ↓ -50% |
| Aetna of PA | Medicare | $3,182.86 | ↓ -48% |
| United Healthcare | Unison Advantage Non Special Needs | $3,182.86 | ↓ -48% |
| United Healthcare | Medicare | $3,243.49 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,273.50 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,273.80 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $3,273.80 | ↓ -47% |
| Cigna | Medicare | $3,273.80 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,308.97 | ↓ -46% |
| United Healthcare | Unison Advantage Special Needs | $3,334.43 | ↓ -46% |
| Aetna | Medicare | $3,334.43 | ↓ -46% |
| United Healthcare | Compass Exchange | $3,390.75 | ↓ -45% |
| Aetna | Neighborhood Network | $3,606.53 | ↓ -41% |
| Aetna | EBR FI | $3,904.50 | ↓ -37% |
| Aetna | Home Depot Employer Group | $3,925.05 | ↓ -36% |
| United Healthcare | All Business | $4,007.25 | ↓ -35% |
| Cigna | NBR ASO/FI | $4,007.25 | ↓ -35% |
| Cigna | New Business ASO | $4,007.25 | ↓ -35% |
| Aetna | NBR ASO/FI | $4,007.25 | ↓ -35% |
| Aetna | EBR ASO | $4,110.00 | ↓ -33% |
| Cigna | Commercial | $4,110.00 | ↓ -33% |
| Cigna | EBR | $4,110.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,301.40 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $4,431.52 | ↓ -28% |
| InterGroup | PPO | $5,137.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $5,651.25 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $5,651.25 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,760.78 | ↓ -7% |
| Coventry/First Health | Commercial | $7,192.50 | ↑ +17% |
| Private Health Care Systems | PPO | $8,220.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $8,863.05 | ↑ +44% |
Visitor-reported prices
Comments
Ghs vaginal delivery only at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,247.60 | $1,111.99 – $10,996.80 |
| UPMC Bedford | Everett | $10,399.20 | $822.32 – $15,598.80 |
| UPMC Carlisle | Carlisle | $4,464.60 | $471.00 – $6,324.85 |
| UPMC Cole | Coudersport | $3,411.00 | $685.79 – $1,979.20 |
| UPMC Community Osteopathic | Harrisburg | $4,464.60 | $1,111.99 – $6,324.85 |
| UPMC Hamot | Erie | $9,315.60 | $1,380.58 – $4,408.81 |
| UPMC Hanover | Hanover | $4,464.60 | $471.00 – $4,859.86 |
| UPMC Jameson | New Castle | $3,252.00 | $1,111.99 – $4,092.26 |