Icd crtp serena MRI at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$47,350.20
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.
$78,917.00
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.
$6,200.97 with Highmark BCBS of PA vs $63,133.60 with Private Health Care Systems — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6,200.97 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14,994.23 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17,361.74 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $17,856.08 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $17,947.62 | ↓ -62% |
| Aetna | Medicare | $19,729.25 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $23,912.97 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Indemnity | $24,036.89 | ↓ -49% |
| PA Health & Wellness | PA Medicaid HMO | $26,042.61 | ↓ -45% |
| United Healthcare | Compass Exchange | $26,042.61 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $26,042.61 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26,697.62 | ↓ -44% |
| Aetna | Neighborhood Network | $27,699.87 | ↓ -41% |
| Aetna | EBR FI | $29,988.46 | ↓ -37% |
| Aetna | Home Depot Employer Group | $30,146.29 | ↓ -36% |
| Cigna | NBR ASO/FI | $30,777.63 | ↓ -35% |
| United Healthcare | All Business | $30,777.63 | ↓ -35% |
| Aetna | NBR ASO/FI | $30,777.63 | ↓ -35% |
| Cigna | New Business ASO | $30,777.63 | ↓ -35% |
| Cigna | EBR | $31,566.80 | ↓ -33% |
| Aetna | EBR ASO | $31,566.80 | ↓ -33% |
| Cigna | Commercial | $31,566.80 | ↓ -33% |
| UPMC Health Plan | CHIP | $32,964.74 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $39,458.50 | ↓ -17% |
| InterGroup | PPO | $39,458.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $40,002.71 | ↓ -16% |
| Highmark BCBS of PA | UPMC Emergent | $47,825.95 | ↑ +1% |
| Coventry/First Health | Commercial | $55,241.90 | ↑ +17% |
| Private Health Care Systems | PPO | $63,133.60 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Icd crtp serena MRI at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $24,591.00 | $3,865.36 – $32,964.74 |
| UPMC Bedford | Everett | $13,146.00 | $3,912.29 – $32,964.74 |
| UPMC Cole | Coudersport | $5,940.00 | $1,881.00 – $7,920.00 |
| UPMC Community Osteopathic | Harrisburg | $24,360.60 | $8,120.20 – $34,510.85 |
| UPMC Hamot | Erie | $34,519.80 | $6,142.48 – $6,142.48 |
| UPMC Memorial | York | $24,360.60 | $3,640.47 – $32,964.74 |
| UPMC Mercy | Pittsburgh | $30,396.60 | $6,142.48 – $26,030.37 |
| UPMC Passavant-McCandless | Pittsburgh | $39,481.20 | $6,200.97 – $47,835.95 |