Graft xenmtrx sft rect 15x20cm at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$26,360.40
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.
$43,934.00
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.
$23.37 with Health Partners Plans (Jefferson Health Plan) vs $1,629.78 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $23.37 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.06 | ↓ -100% |
| Aetna | Medicare | $30.75 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $40.59 | ↓ -100% |
| United Healthcare | Compass Exchange | $40.59 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $40.59 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $41.61 | ↓ -100% |
| Aetna | Neighborhood Network | $43.17 | ↓ -100% |
| Aetna | EBR FI | $46.74 | ↓ -100% |
| Aetna | Home Depot Employer Group | $46.99 | ↓ -100% |
| Cigna | NBR ASO/FI | $47.97 | ↓ -100% |
| United Healthcare | All Business | $47.97 | ↓ -100% |
| Aetna | NBR ASO/FI | $47.97 | ↓ -100% |
| Cigna | New Business ASO | $47.97 | ↓ -100% |
| Aetna | EBR ASO | $49.20 | ↓ -100% |
| Cigna | EBR | $49.20 | ↓ -100% |
| Cigna | Commercial | $49.20 | ↓ -100% |
| InterGroup | PPO | $61.50 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.50 | ↓ -100% |
| Coventry/First Health | Commercial | $86.10 | ↓ -100% |
| Private Health Care Systems | PPO | $98.40 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $211.31 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $608.49 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $611.61 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $814.89 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $819.11 | ↓ -97% |
| UPMC Health Plan | CHIP | $1,294.22 | ↓ -95% |
| UPMC Health Plan | Commercial | $1,570.53 | ↓ -94% |
| Highmark BCBS of PA | UPMC Emergent | $1,629.78 | ↓ -94% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft xenmtrx sft rect 15x20cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $44,226.00 | $33.25 – $1,294.22 |
| UPMC Bedford | Everett | $4,772.40 | $33.25 – $1,294.22 |
| UPMC Cole | Coudersport | $3,100.80 | $82.84 – $348.80 |
| UPMC Hamot | Erie | $17,093.40 | $209.32 – $209.32 |
| UPMC Northwest | Seneca | $3,613.80 | $543.26 – $1,566.12 |
| UPMC Horizon-Greenville | Greenville | $11,944.20 | $533.47 – $1,294.22 |
| UPMC Jameson | New Castle | $22,132.80 | $213.01 – $1,294.22 |
| UPMC Kane | Kane | $5,359.20 | $953.03 – $953.03 |