Hla class i high defin qual at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$571.80
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.
?
What you pay up front if you don't use insurance.
$953.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$133.14 with Health Partners Plans (Jefferson Health Plan) vs $2,290.85 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $133.14 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $143.25 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $146.45 | ↓ -74% |
| United Healthcare Community Plan for Families | Unison Kids | $153.11 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $185.05 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $197.45 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $207.84 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $226.90 | ↓ -60% |
| Highmark BCBS of PA | Managed Care - Social Mission | $249.02 | ↓ -56% |
| United Healthcare | Compass Exchange | $314.49 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $319.97 | ↓ -44% |
| UPMC Health Plan | Managed Medicare | $324.62 | ↓ -43% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $330.74 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $333.51 | ↓ -42% |
| Aetna | Neighborhood Network | $334.50 | ↓ -42% |
| Aetna of PA | Medicare | $339.94 | ↓ -41% |
| United Healthcare | Unison Advantage Non Special Needs | $339.94 | ↓ -41% |
| United Healthcare | Medicare | $346.41 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $349.62 | ↓ -39% |
| AmeriHealth Caritas | Medicare | $349.65 | ↓ -39% |
| Cigna | Medicare | $349.65 | ↓ -39% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $349.65 | ↓ -39% |
| Aetna | Medicare | $356.12 | ↓ -38% |
| United Healthcare | Unison Advantage Special Needs | $356.12 | ↓ -38% |
| Aetna | EBR FI | $362.14 | ↓ -37% |
| Aetna | Home Depot Employer Group | $364.05 | ↓ -36% |
| United Healthcare | All Business | $371.67 | ↓ -35% |
| Aetna | NBR ASO/FI | $371.67 | ↓ -35% |
| Cigna | NBR ASO/FI | $371.67 | ↓ -35% |
| Cigna | New Business ASO | $371.67 | ↓ -35% |
| Cigna | Commercial | $381.20 | ↓ -33% |
| Aetna | EBR ASO | $381.20 | ↓ -33% |
| Cigna | EBR | $381.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $414.62 | ↓ -27% |
| InterGroup | PPO | $476.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $555.29 | ↓ -3% |
| UPMC Health Plan | Commercial | $630.19 | ↑ +10% |
| Highmark BCBS of PA | UPMC Emergent | $667.01 | ↑ +17% |
| Coventry/First Health | Commercial | $667.10 | ↑ +17% |
| Private Health Care Systems | PPO | $762.40 | ↑ +33% |
| UPMC Health Plan | CHIP | $2,290.85 | ↑ +301% |
Visitor-reported prices
Comments
Hla class i high defin qual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $556.80 | $133.14 – $742.40 |
| UPMC Bedford | Everett | $922.20 | $116.81 – $1,383.30 |
| UPMC Carlisle | Carlisle | $1,800.60 | $102.53 – $2,550.85 |
| UPMC Community Osteopathic | Harrisburg | $1,800.60 | $133.14 – $2,550.85 |
| UPMC Hamot | Erie | $469.20 | $133.14 – $349.65 |
| UPMC Northwest | Seneca | $409.20 | $146.45 – $339.94 |
| UPMC Hanover | Hanover | $1,800.60 | $102.53 – $518.00 |
| UPMC Horizon-Greenville | Greenville | $541.20 | $133.14 – $349.65 |