Guid loc target vol rad tx at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$951.00
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.
$1,585.00
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.
$16.04 with Highmark BCBS of PA vs $1,268.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16.04 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $35.72 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $46.44 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $47.84 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity | $62.19 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $87.49 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $91.47 | ↓ -90% |
| Highmark BCBS of PA | UPMC Emergent | $95.68 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $110.55 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $117.96 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $119.95 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $124.17 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $135.55 | ↓ -86% |
| Aetna | Medicare | $396.25 | ↓ -58% |
| United Healthcare | Compass Exchange | $523.05 | ↓ -45% |
| UPMC Health Plan | Commercial | $540.01 | ↓ -43% |
| Aetna | Neighborhood Network | $556.34 | ↓ -41% |
| Aetna | EBR FI | $602.30 | ↓ -37% |
| Aetna | Home Depot Employer Group | $605.47 | ↓ -36% |
| Cigna | NBR ASO/FI | $618.15 | ↓ -35% |
| United Healthcare | All Business | $618.15 | ↓ -35% |
| Aetna | NBR ASO/FI | $618.15 | ↓ -35% |
| Cigna | New Business ASO | $618.15 | ↓ -35% |
| Cigna | EBR | $634.00 | ↓ -33% |
| Aetna | EBR ASO | $634.00 | ↓ -33% |
| Cigna | Commercial | $634.00 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $792.50 | ↓ -17% |
| InterGroup | PPO | $792.50 | ↓ -17% |
| Coventry/First Health | Commercial | $1,109.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $1,151.81 | ↑ +21% |
| Private Health Care Systems | PPO | $1,268.00 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Guid loc target vol rad tx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,093.80 | $15.89 – $1,458.40 |
| UPMC Carlisle | Carlisle | $300.60 | $68.64 – $26,132.00 |
| UPMC Community Osteopathic | Harrisburg | $300.60 | $69.87 – $1,151.81 |
| UPMC Northwest | Seneca | $1,214.40 | $41.25 – $135.55 |
| UPMC Horizon-Greenville | Greenville | $888.00 | $30.92 – $135.55 |
| UPMC Lititz | Lititz | $300.60 | $83.59 – $360.47 |
| UPMC Magee | Pittsburgh | $1,593.00 | $16.04 – $135.55 |
| UPMC McKeesport | Mckeesport | $927.00 | $16.04 – $135.55 |