Hdr rdncl ntrstl/icav brchtx at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$4,363.20
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.
$7,272.00
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.
$419.74 with Highmark BCBS of PA vs $5,817.60 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 | $419.74 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $663.25 | ↓ -85% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $675.75 | ↓ -85% |
| Aetna of PA | Medicare | $694.53 | ↓ -84% |
| United Healthcare | Unison Advantage Non Special Needs | $694.53 | ↓ -84% |
| United Healthcare | Medicare | $707.76 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $714.31 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $714.38 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $714.38 | ↓ -84% |
| Cigna | Medicare | $714.38 | ↓ -84% |
| United Healthcare | Unison Advantage Special Needs | $727.61 | ↓ -83% |
| Aetna | Medicare | $727.61 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $766.73 | ↓ -82% |
| United Healthcare Community Plan for Families | Unison Kids | $801.58 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $934.56 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $968.80 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,033.70 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,051.12 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,088.13 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $1,166.16 | ↓ -73% |
| PA Health & Wellness | PA Medicaid HMO | $1,187.88 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,214.85 | ↓ -72% |
| Highmark BCBS of PA | Managed Care | $1,251.60 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,627.03 | ↓ -63% |
| UPMC Health Plan | Commercial | $1,672.23 | ↓ -62% |
| United Healthcare | Compass Exchange | $2,399.76 | ↓ -45% |
| Highmark BCBS of PA | UPMC Emergent | $2,503.20 | ↓ -43% |
| Aetna | Neighborhood Network | $2,552.47 | ↓ -42% |
| Aetna | EBR FI | $2,763.36 | ↓ -37% |
| Aetna | Home Depot Employer Group | $2,777.90 | ↓ -36% |
| Cigna | New Business ASO | $2,836.08 | ↓ -35% |
| United Healthcare | All Business | $2,836.08 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,836.08 | ↓ -35% |
| Cigna | NBR ASO/FI | $2,836.08 | ↓ -35% |
| Cigna | Commercial | $2,908.80 | ↓ -33% |
| Aetna | EBR ASO | $2,908.80 | ↓ -33% |
| Cigna | EBR | $2,908.80 | ↓ -33% |
| UPMC Health Plan | CHIP | $3,566.75 | ↓ -18% |
| InterGroup | PPO | $3,636.00 | ↓ -17% |
| Coventry/First Health | Commercial | $5,090.40 | ↑ +17% |
| Private Health Care Systems | PPO | $5,817.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Hdr rdncl ntrstl/icav brchtx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,553.60 | $583.07 – $3,617.60 |
| UPMC Community Osteopathic | Harrisburg | $2,553.60 | $623.53 – $3,617.60 |
| UPMC Lititz | Lititz | $2,553.60 | $623.53 – $1,220.40 |
| UPMC Magee | Pittsburgh | $10,465.20 | $419.74 – $1,187.88 |
| UPMC Somerset | Somerset | $2,553.60 | $411.57 – $1,166.16 |