Immobilizer shldr dlx str 24-36in med at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$421.80
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.
$703.00
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.
$6.46 with Health Partners Plans (Jefferson Health Plan) vs $875.17 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 | $6.46 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.48 | ↓ -98% |
| Aetna | Medicare | $8.50 | ↓ -98% |
| United Healthcare | Compass Exchange | $11.22 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $11.22 | ↓ -97% |
| Aetna | Neighborhood Network | $11.93 | ↓ -97% |
| Aetna | EBR FI | $12.92 | ↓ -97% |
| Aetna | Home Depot Employer Group | $12.99 | ↓ -97% |
| Cigna | New Business ASO | $13.26 | ↓ -97% |
| Cigna | NBR ASO/FI | $13.26 | ↓ -97% |
| Aetna | NBR ASO/FI | $13.26 | ↓ -97% |
| United Healthcare | All Business | $13.26 | ↓ -97% |
| Aetna | EBR ASO | $13.60 | ↓ -97% |
| Cigna | EBR | $13.60 | ↓ -97% |
| Cigna | Commercial | $13.60 | ↓ -97% |
| InterGroup | PPO | $17.00 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.00 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $18.70 | ↓ -96% |
| Coventry/First Health | Commercial | $23.80 | ↓ -94% |
| Private Health Care Systems | PPO | $27.20 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $113.47 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $160.53 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $326.75 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $328.42 | ↓ -22% |
| UPMC Health Plan | CHIP | $418.49 | ↓ -1% |
| Highmark BCBS of PA | Managed Care | $437.59 | ↑ +4% |
| Highmark BCBS of PA | Commercial - Indemnity | $439.85 | ↑ +4% |
| UPMC Health Plan | Commercial | $507.84 | ↑ +20% |
| Highmark BCBS of PA | UPMC Emergent | $875.17 | ↑ +107% |
Visitor-reported prices
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Immobilizer shldr dlx str 24-36in med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $198.00 | $7.98 – $418.49 |
| UPMC Bedford | Everett | $415.80 | $160.53 – $623.70 |
| UPMC Cole | Coudersport | $69.60 | $22.04 – $160.53 |
| UPMC Hamot | Erie | $687.00 | $112.40 – $160.53 |
| UPMC Northwest | Seneca | $94.80 | $160.53 – $506.41 |
| UPMC Horizon-Greenville | Greenville | $459.60 | $160.53 – $418.49 |
| UPMC Jameson | New Castle | $121.20 | $39.86 – $418.49 |
| UPMC Magee | Pittsburgh | $507.60 | $43.85 – $418.49 |