Hla i & ii typing lr at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$562.20
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.
$937.00
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.
$309.21 with United Healthcare vs $3,584.34 with UPMC Health Plan — 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 |
|---|---|---|---|
| United Healthcare | Compass Exchange | $309.21 | ↓ -45% |
| Aetna | Neighborhood Network | $328.89 | ↓ -41% |
| Aetna | EBR FI | $356.06 | ↓ -37% |
| Aetna | Home Depot Employer Group | $357.93 | ↓ -36% |
| Cigna | NBR ASO/FI | $365.43 | ↓ -35% |
| Aetna | NBR ASO/FI | $365.43 | ↓ -35% |
| United Healthcare | All Business | $365.43 | ↓ -35% |
| Cigna | New Business ASO | $365.43 | ↓ -35% |
| Cigna | EBR | $374.80 | ↓ -33% |
| Aetna | EBR ASO | $374.80 | ↓ -33% |
| Cigna | Commercial | $374.80 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $397.42 | ↓ -29% |
| UPMC Health Plan | Managed Medicare | $403.21 | ↓ -28% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $410.81 | ↓ -27% |
| Aetna of PA | Medicare | $422.23 | ↓ -25% |
| United Healthcare | Unison Advantage Non Special Needs | $422.23 | ↓ -25% |
| United Healthcare | Medicare | $430.27 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $434.25 | ↓ -23% |
| Cigna | Medicare | $434.29 | ↓ -23% |
| AmeriHealth Caritas | Medicare | $434.29 | ↓ -23% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $434.29 | ↓ -23% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $438.88 | ↓ -22% |
| United Healthcare | Unison Advantage Special Needs | $442.33 | ↓ -21% |
| Aetna | Medicare | $442.33 | ↓ -21% |
| InterGroup | PPO | $468.50 | ↓ -17% |
| UPMC Health Plan | Managed Medicaid | $482.77 | ↓ -14% |
| United Healthcare Community Plan for Families | Unison Kids | $504.71 | ↓ -10% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $514.33 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $610.00 | ↑ +9% |
| Highmark Wholecare (prev Gateway) | Medicaid | $650.86 | ↑ +16% |
| Coventry/First Health | Commercial | $655.90 | ↑ +17% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $685.14 | ↑ +22% |
| PA Health & Wellness | PA Medicaid HMO | $747.94 | ↑ +33% |
| Private Health Care Systems | PPO | $749.60 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $894.08 | ↑ +59% |
| UPMC Health Plan | Commercial | $986.01 | ↑ +75% |
| Highmark BCBS of PA | Managed Care | $1,197.42 | ↑ +113% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,488.64 | ↑ +165% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,993.70 | ↑ +255% |
| Highmark BCBS of PA | UPMC Emergent | $2,394.83 | ↑ +326% |
| UPMC Health Plan | CHIP | $3,584.34 | ↑ +538% |
Visitor-reported prices
Comments
Hla i & ii typing lr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,026.80 | $397.42 – $2,702.40 |
| UPMC Carlisle | Carlisle | $2,323.80 | $398.10 – $3,292.05 |
| UPMC Community Osteopathic | Harrisburg | $2,323.80 | $398.10 – $3,584.34 |
| UPMC Hamot | Erie | $3,345.00 | $397.42 – $610.00 |
| UPMC Hanover | Hanover | $2,323.80 | $398.10 – $643.39 |
| UPMC Lititz | Lititz | $2,323.80 | $398.10 – $643.39 |
| UPMC Magee | Pittsburgh | $2,228.40 | $376.34 – $747.94 |
| UPMC Memorial | York | $2,323.80 | $415.25 – $2,718.09 |