Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$896.40
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.
$1,494.00
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.
$34.32 with UPMC Health Plan vs $1,195.20 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $34.32 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $35.88 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $43.36 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.27 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $47.05 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $48.71 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $53.17 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $74.52 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $147.08 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $194.43 | ↓ -78% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $198.10 | ↓ -78% |
| Aetna of PA | Medicare | $203.61 | ↓ -77% |
| United Healthcare | Unison Advantage Non Special Needs | $203.61 | ↓ -77% |
| United Healthcare | Medicare | $207.48 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $209.40 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $209.42 | ↓ -77% |
| Cigna | Medicare | $209.42 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $209.42 | ↓ -77% |
| United Healthcare | Unison Advantage Special Needs | $213.30 | ↓ -76% |
| Aetna | Medicare | $213.30 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $384.18 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $425.70 | ↓ -53% |
| UPMC Health Plan | CHIP | $459.03 | ↓ -49% |
| United Healthcare | Compass Exchange | $493.02 | ↓ -45% |
| Highmark BCBS of PA | Managed Care | $514.53 | ↓ -43% |
| Aetna | Neighborhood Network | $524.39 | ↓ -42% |
| UPMC Health Plan | Commercial | $557.04 | ↓ -38% |
| Aetna | EBR FI | $567.72 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $570.13 | ↓ -36% |
| Aetna | Home Depot Employer Group | $570.71 | ↓ -36% |
| Aetna | NBR ASO/FI | $582.66 | ↓ -35% |
| Cigna | NBR ASO/FI | $582.66 | ↓ -35% |
| Cigna | New Business ASO | $582.66 | ↓ -35% |
| United Healthcare | All Business | $582.66 | ↓ -35% |
| Aetna | EBR ASO | $597.60 | ↓ -33% |
| Cigna | EBR | $597.60 | ↓ -33% |
| Cigna | Commercial | $597.60 | ↓ -33% |
| InterGroup | PPO | $747.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $1,029.07 | ↑ +15% |
| Coventry/First Health | Commercial | $1,045.80 | ↑ +17% |
| Private Health Care Systems | PPO | $1,195.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $414.60 | $31.20 – $526.40 |
| UPMC Cole | Coudersport | $276.00 | $32.76 – $368.00 |
| UPMC Hamot | Erie | $1,113.00 | $34.32 – $273.12 |
| UPMC Northwest | Seneca | $377.40 | $34.32 – $203.61 |
| UPMC Hanover | Hanover | $165.60 | $39.62 – $310.88 |
| UPMC Horizon-Greenville | Greenville | $462.60 | $34.32 – $353.36 |
| UPMC Jameson | New Castle | $289.20 | $34.32 – $242.39 |
| UPMC Magee | Pittsburgh | $508.20 | $34.32 – $209.42 |