Ghs veeg 12-26 hr intmt mont at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,109.60
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.
$3,516.00
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.
$507.23 with UPMC Health Plan vs $5,470.54 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 Medicare | $507.23 | ↓ -76% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $516.79 | ↓ -76% |
| Aetna of PA | Medicare | $531.15 | ↓ -75% |
| United Healthcare | Unison Advantage Non Special Needs | $531.15 | ↓ -75% |
| United Healthcare | Medicare | $541.27 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $546.28 | ↓ -74% |
| Cigna | Medicare | $546.33 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $546.33 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $546.33 | ↓ -74% |
| Aetna | Medicare | $556.45 | ↓ -74% |
| United Healthcare | Unison Advantage Special Needs | $556.45 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $781.88 | ↓ -63% |
| UPMC Health Plan | Managed Medicaid | $880.00 | ↓ -58% |
| United Healthcare Community Plan for Families | Unison Kids | $920.00 | ↓ -56% |
| Geisinger | Medicaid/CHIP | $1,111.92 | ↓ -47% |
| United Healthcare | Compass Exchange | $1,160.28 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,186.40 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,206.40 | ↓ -43% |
| UPMC Health Plan | CHIP | $1,230.60 | ↓ -42% |
| Aetna | Neighborhood Network | $1,234.12 | ↓ -41% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,248.88 | ↓ -41% |
| Aetna | EBR FI | $1,336.08 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,343.11 | ↓ -36% |
| PA Health & Wellness | PA Medicaid HMO | $1,363.36 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,371.24 | ↓ -35% |
| United Healthcare | All Business | $1,371.24 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,371.24 | ↓ -35% |
| Cigna | New Business ASO | $1,371.24 | ↓ -35% |
| Cigna | EBR | $1,406.40 | ↓ -33% |
| Cigna | Commercial | $1,406.40 | ↓ -33% |
| Aetna | EBR ASO | $1,406.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $1,724.60 | ↓ -18% |
| InterGroup | PPO | $1,758.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,042.31 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,263.02 | ↑ +7% |
| Coventry/First Health | Commercial | $2,461.20 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $2,735.27 | ↑ +30% |
| Private Health Care Systems | PPO | $2,812.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,030.82 | ↑ +44% |
| Highmark BCBS of PA | UPMC Emergent | $5,470.54 | ↑ +159% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ghs veeg 12-26 hr intmt mont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,992.60 | $515.88 – $2,656.80 |
| UPMC Carlisle | Carlisle | $1,773.60 | $404.97 – $2,512.60 |
| UPMC Community Osteopathic | Harrisburg | $1,773.60 | $516.72 – $2,512.60 |
| UPMC Hamot | Erie | $2,205.60 | $583.83 – $1,206.40 |
| UPMC Hanover | Hanover | $1,773.60 | $501.81 – $1,089.60 |
| UPMC Lititz | Lititz | $1,773.60 | $504.52 – $1,089.60 |
| UPMC Magee | Pittsburgh | $2,109.60 | $473.43 – $1,363.36 |
| UPMC McKeesport | Mckeesport | $2,109.60 | $468.88 – $880.00 |