Icd cobalt xt dr MRI is1 df1 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$139,505.40
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.
$232,509.00
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.
$6,262.78 with Health Partners Plans (Jefferson Health Plan) vs $132,930.64 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $6,262.78 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7,251.64 | ↓ -95% |
| Aetna | Medicare | $8,240.50 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $10,877.46 | ↓ -92% |
| United Healthcare | Compass Exchange | $10,877.46 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $10,877.46 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11,151.04 | ↓ -92% |
| Aetna | Neighborhood Network | $11,569.66 | ↓ -92% |
| Aetna | EBR FI | $12,525.56 | ↓ -91% |
| Aetna | Home Depot Employer Group | $12,591.48 | ↓ -91% |
| Cigna | NBR ASO/FI | $12,855.18 | ↓ -91% |
| United Healthcare | All Business | $12,855.18 | ↓ -91% |
| Aetna | NBR ASO/FI | $12,855.18 | ↓ -91% |
| Cigna | New Business ASO | $12,855.18 | ↓ -91% |
| Aetna | EBR ASO | $13,184.80 | ↓ -91% |
| Cigna | EBR | $13,184.80 | ↓ -91% |
| Cigna | Commercial | $13,184.80 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $16,481.00 | ↓ -88% |
| InterGroup | PPO | $16,481.00 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $17,235.39 | ↓ -88% |
| Coventry/First Health | Commercial | $23,073.40 | ↓ -83% |
| Private Health Care Systems | PPO | $26,369.60 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $49,630.39 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $49,884.81 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $66,465.32 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity | $66,809.75 | ↓ -52% |
| UPMC Health Plan | CHIP | $85,343.66 | ↓ -39% |
| UPMC Health Plan | Commercial | $103,564.54 | ↓ -26% |
| Highmark BCBS of PA | UPMC Emergent | $132,930.64 | ↓ -5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Icd cobalt xt dr MRI is1 df1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $41,422.80 | $6,391.60 – $85,343.66 |
| UPMC Bedford | Everett | $17,601.60 | $5,573.84 – $85,343.66 |
| UPMC Cole | Coudersport | $28,351.80 | $8,978.07 – $37,802.40 |
| UPMC Community Osteopathic | Harrisburg | $36,540.60 | $12,180.20 – $89,867.43 |
| UPMC Hamot | Erie | $117,676.80 | $17,072.82 – $17,072.82 |
| UPMC Memorial | York | $36,540.60 | $5,000.00 – $85,343.66 |
| UPMC Mercy | Pittsburgh | $49,471.80 | $17,072.82 – $67,391.01 |
| UPMC Passavant-McCandless | Pittsburgh | $96,952.20 | $17,235.39 – $123,844.32 |