Icd crtd cobalt hf MRI is1 df1 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$132,543.60
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.
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What you pay up front if you don't use insurance.
$220,906.00
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.
$9,207.59 with Health Partners Plans (Jefferson Health Plan) vs $126,297.76 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 | $9,207.59 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10,661.42 | ↓ -92% |
| Aetna | Medicare | $12,115.25 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $15,992.13 | ↓ -88% |
| United Healthcare | Compass Exchange | $15,992.13 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $15,992.13 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16,375.39 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $16,394.36 | ↓ -88% |
| Aetna | Neighborhood Network | $17,009.81 | ↓ -87% |
| Aetna | EBR FI | $18,415.18 | ↓ -86% |
| Aetna | Home Depot Employer Group | $18,512.10 | ↓ -86% |
| Cigna | NBR ASO/FI | $18,899.79 | ↓ -86% |
| United Healthcare | All Business | $18,899.79 | ↓ -86% |
| Aetna | NBR ASO/FI | $18,899.79 | ↓ -86% |
| Cigna | New Business ASO | $18,899.79 | ↓ -86% |
| Cigna | Commercial | $19,384.40 | ↓ -85% |
| Aetna | EBR ASO | $19,384.40 | ↓ -85% |
| Cigna | EBR | $19,384.40 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $24,230.50 | ↓ -82% |
| InterGroup | PPO | $24,230.50 | ↓ -82% |
| Coventry/First Health | Commercial | $33,922.70 | ↓ -74% |
| Private Health Care Systems | PPO | $38,768.80 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $47,153.97 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $47,395.69 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $63,148.88 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity | $63,476.12 | ↓ -52% |
| UPMC Health Plan | CHIP | $89,600.45 | ↓ -32% |
| UPMC Health Plan | Commercial | $108,730.14 | ↓ -18% |
| Highmark BCBS of PA | UPMC Emergent | $126,297.76 | ↓ -5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Icd crtd cobalt hf MRI is1 df1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $59,517.00 | $8,750.64 – $89,600.45 |
| UPMC Bedford | Everett | $33,876.00 | $8,462.03 – $89,600.45 |
| UPMC Cole | Coudersport | $33,408.60 | $10,579.39 – $44,544.80 |
| UPMC Community Osteopathic | Harrisburg | $45,067.20 | $15,022.40 – $89,600.45 |
| UPMC Hamot | Erie | $143,409.00 | $16,220.93 – $16,220.93 |
| UPMC Northwest | Seneca | $40,346.40 | $42,099.54 – $108,424.54 |
| UPMC Memorial | York | $45,067.20 | $12,087.27 – $89,600.45 |
| UPMC Mercy | Pittsburgh | $60,282.00 | $16,220.93 – $70,752.35 |