Hla i typing low res one locus ea at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,671.60
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.
$2,786.00
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.
$121.54 with Health Partners Plans (Jefferson Health Plan) vs $2,228.80 with Private Health Care Systems — 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 | $121.54 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $125.95 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $127.77 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $130.18 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $133.69 | ↓ -92% |
| Aetna of PA | Medicare | $133.80 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $133.80 | ↓ -92% |
| United Healthcare | Medicare | $136.35 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $137.61 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $137.62 | ↓ -92% |
| Cigna | Medicare | $137.62 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $137.62 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $139.77 | ↓ -92% |
| Aetna | Medicare | $140.17 | ↓ -92% |
| United Healthcare | Unison Advantage Special Needs | $140.17 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $168.93 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $180.24 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $189.74 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $207.13 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $257.16 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $447.02 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $598.69 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $744.29 | ↓ -55% |
| United Healthcare | Compass Exchange | $919.38 | ↓ -45% |
| UPMC Health Plan | CHIP | $975.10 | ↓ -42% |
| Aetna | Neighborhood Network | $977.89 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Indemnity | $996.82 | ↓ -40% |
| Aetna | EBR FI | $1,058.68 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,064.25 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,086.54 | ↓ -35% |
| Cigna | New Business ASO | $1,086.54 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,086.54 | ↓ -35% |
| United Healthcare | All Business | $1,086.54 | ↓ -35% |
| Cigna | EBR | $1,114.40 | ↓ -33% |
| Cigna | Commercial | $1,114.40 | ↓ -33% |
| Aetna | EBR ASO | $1,114.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $1,197.37 | ↓ -28% |
| UPMC Health Plan | Commercial | $1,366.53 | ↓ -18% |
| InterGroup | PPO | $1,393.00 | ↓ -17% |
| Coventry/First Health | Commercial | $1,950.20 | ↑ +17% |
| Private Health Care Systems | PPO | $2,228.80 | ↑ +33% |
Visitor-reported prices
Comments
Hla i typing low res one locus ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,051.20 | $119.26 – $257.16 |
| UPMC Mercy | Pittsburgh | $1,671.60 | $106.23 – $254.73 |
| UPMC Passavant-McCandless | Pittsburgh | $1,671.60 | $118.42 – $257.16 |
| UPMC Presbyterian | Pittsburgh | $2,473.20 | $121.54 – $257.16 |
| UPMC St. Margaret | Pittsburgh | $1,671.60 | $110.02 – $257.16 |
| WellSpan Chambersburg Hospital | Chambersburg | $701.60 | $121.54 – $631.44 |
| Uniontown Hospital | Uniontown | $213.00 | $120.42 – $264.67 |