Implant ureth bulk agent at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,096.20
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.
?
What you pay up front if you don't use insurance.
$1,827.00
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.
$312.91 with Highmark BCBS of PA vs $2,413.34 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $312.91 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $347.13 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $401.94 | ↓ -63% |
| Aetna | Medicare | $456.75 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $602.91 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $602.91 | ↓ -45% |
| United Healthcare | Compass Exchange | $602.91 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $618.07 | ↓ -44% |
| Aetna | Neighborhood Network | $641.28 | ↓ -41% |
| Aetna | EBR FI | $694.26 | ↓ -37% |
| Aetna | Home Depot Employer Group | $697.91 | ↓ -36% |
| Cigna | NBR ASO/FI | $712.53 | ↓ -35% |
| United Healthcare | All Business | $712.53 | ↓ -35% |
| Aetna | NBR ASO/FI | $712.53 | ↓ -35% |
| Cigna | New Business ASO | $712.53 | ↓ -35% |
| Cigna | Commercial | $730.80 | ↓ -33% |
| Aetna | EBR ASO | $730.80 | ↓ -33% |
| Cigna | EBR | $730.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $901.03 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $905.65 | ↓ -17% |
| InterGroup | PPO | $913.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $913.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $1,206.67 | ↑ +10% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,212.92 | ↑ +11% |
| Coventry/First Health | Commercial | $1,278.90 | ↑ +17% |
| Private Health Care Systems | PPO | $1,461.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $1,713.66 | ↑ +56% |
| UPMC Health Plan | Commercial | $2,079.52 | ↑ +90% |
| Highmark BCBS of PA | UPMC Emergent | $2,413.34 | ↑ +120% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Implant ureth bulk agent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,188.20 | $309.95 – $1,970.40 |
| UPMC Cole | Coudersport | $445.80 | $141.17 – $594.40 |
| UPMC Hamot | Erie | $2,308.20 | $309.95 – $309.95 |
| UPMC Northwest | Seneca | $1,360.20 | $804.45 – $2,073.68 |
| UPMC Magee | Pittsburgh | $2,408.40 | $141.13 – $1,713.66 |
| UPMC McKeesport | Mckeesport | $495.60 | $141.13 – $1,713.66 |
| UPMC Mercy | Pittsburgh | $1,617.00 | $309.95 – $1,353.18 |
| UPMC Muncy | Muncy | $1,094.40 | $258.15 – $1,548.90 |