Hemodialysis one evaluation at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,261.20
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.
$2,102.00
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.
$286.45 with UPMC Work Partners vs $1,721.54 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 Work Partners | Workers Comp | $286.45 | ↓ -77% |
| United Healthcare | Compass Exchange | $317.79 | ↓ -75% |
| Aetna | Neighborhood Network | $338.01 | ↓ -73% |
| Aetna | EBR FI | $365.94 | ↓ -71% |
| Aetna | Home Depot Employer Group | $367.87 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $370.10 | ↓ -71% |
| Aetna | NBR ASO/FI | $375.57 | ↓ -70% |
| Cigna | New Business ASO | $375.57 | ↓ -70% |
| Cigna | NBR ASO/FI | $375.57 | ↓ -70% |
| United Healthcare | All Business | $375.57 | ↓ -70% |
| Aetna | EBR ASO | $385.20 | ↓ -69% |
| Cigna | EBR | $385.20 | ↓ -69% |
| Cigna | Commercial | $385.20 | ↓ -69% |
| InterGroup | PPO | $481.50 | ↓ -62% |
| PA Health & Wellness | PA Medicaid HMO | $529.65 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $529.65 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $642.69 | ↓ -49% |
| UPMC Health Plan | Managed Medicare | $668.90 | ↓ -47% |
| Coventry/First Health | Commercial | $674.10 | ↓ -47% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $681.51 | ↓ -46% |
| Aetna of PA | Medicare | $700.46 | ↓ -44% |
| United Healthcare | Unison Advantage Non Special Needs | $700.46 | ↓ -44% |
| United Healthcare | Medicare | $713.80 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $720.40 | ↓ -43% |
| AmeriHealth Caritas | Medicare | $720.47 | ↓ -43% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $720.47 | ↓ -43% |
| Cigna | Medicare | $720.47 | ↓ -43% |
| United Healthcare | Unison Advantage Special Needs | $733.81 | ↓ -42% |
| Aetna | Medicare | $733.81 | ↓ -42% |
| Private Health Care Systems | PPO | $770.40 | ↓ -39% |
| Highmark BCBS of PA | Managed Care | $860.77 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,071.20 | ↓ -15% |
| UPMC Health Plan | CHIP | $1,145.76 | ↓ -9% |
| UPMC Health Plan | Commercial | $1,390.38 | ↑ +10% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,434.63 | ↑ +14% |
| Highmark BCBS of PA | UPMC Emergent | $1,721.54 | ↑ +37% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Hemodialysis one evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,635.00 | $272.47 – $2,180.00 |
| UPMC Bedford | Everett | $817.20 | $240.69 – $1,225.80 |
| UPMC Carlisle | Carlisle | $1,081.80 | $216.15 – $1,532.55 |
| UPMC Community Osteopathic | Harrisburg | $1,081.80 | $216.15 – $1,532.55 |
| UPMC Hamot | Erie | $6,177.60 | $152.56 – $831.51 |
| UPMC Northwest | Seneca | $1,223.40 | $279.71 – $720.47 |
| UPMC Hanover | Hanover | $1,081.80 | $216.15 – $1,145.76 |
| UPMC Horizon-Greenville | Greenville | $2,310.00 | $279.71 – $934.34 |