Gi tract capsule endoscopy (pillcam) 91110 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,349.60
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.
$3,916.00
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.
$651.78 with Highmark BCBS of PA vs $4,560.30 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $651.78 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $748.25 | ↓ -68% |
| United Healthcare Community Plan for Families | Unison Kids | $782.26 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $896.26 | ↓ -62% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $913.16 | ↓ -61% |
| United Healthcare | Unison Advantage Non Special Needs | $938.54 | ↓ -60% |
| Aetna of PA | Medicare | $938.54 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $945.45 | ↓ -60% |
| United Healthcare | Medicare | $956.42 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.27 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $965.36 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $965.36 | ↓ -59% |
| Cigna | Medicare | $965.36 | ↓ -59% |
| United Healthcare | Unison Advantage Special Needs | $983.24 | ↓ -58% |
| Aetna | Medicare | $983.24 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,008.78 | ↓ -57% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,025.79 | ↓ -56% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,061.91 | ↓ -55% |
| UPMC Health Plan | CHIP | $1,118.66 | ↓ -52% |
| PA Health & Wellness | PA Medicaid HMO | $1,159.25 | ↓ -51% |
| United Healthcare | Compass Exchange | $1,292.28 | ↓ -45% |
| UPMC Health Plan | Commercial | $1,357.49 | ↓ -42% |
| Aetna | Neighborhood Network | $1,374.52 | ↓ -41% |
| Aetna | EBR FI | $1,488.08 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,495.91 | ↓ -36% |
| Cigna | New Business ASO | $1,527.24 | ↓ -35% |
| United Healthcare | All Business | $1,527.24 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,527.24 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,527.24 | ↓ -35% |
| Cigna | EBR | $1,566.40 | ↓ -33% |
| Aetna | EBR ASO | $1,566.40 | ↓ -33% |
| Cigna | Commercial | $1,566.40 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $1,654.65 | ↓ -30% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,702.49 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,886.47 | ↓ -20% |
| InterGroup | PPO | $1,958.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $2,280.15 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,526.52 | ↑ +8% |
| Coventry/First Health | Commercial | $2,741.20 | ↑ +17% |
| Private Health Care Systems | PPO | $3,132.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $4,560.30 | ↑ +94% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,191.00 | $271.94 – $1,731.61 |
| UPMC Cole | Coudersport | $1,944.60 | $271.38 – $1,654.65 |
| UPMC Community Osteopathic | Harrisburg | $1,191.00 | $397.00 – $1,731.61 |
| UPMC Hanover | Hanover | $1,191.00 | $691.01 – $1,731.61 |
| UPMC Lititz | Lititz | $1,191.00 | $691.01 – $1,731.61 |
| UPMC Magee | Pittsburgh | $3,930.60 | $651.78 – $1,654.65 |
| UPMC McKeesport | Mckeesport | $2,349.60 | $651.78 – $1,654.65 |
| UPMC Memorial | York | $1,191.00 | $526.22 – $1,731.61 |