Injection, cangrelor at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$58.60
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.
$73.25
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.
$8.73 with UPMC Work Partners vs $86.40 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $8.73 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $11.20 | ↓ -81% |
| United Healthcare | Compass Exchange | $18.82 | ↓ -68% |
| United Healthcare | All Business | $18.82 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $20.03 | ↓ -66% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $20.41 | ↓ -65% |
| UPMC Health Plan | CHIP | $20.89 | ↓ -64% |
| United Healthcare | Unison Advantage Non Special Needs | $20.98 | ↓ -64% |
| Aetna of PA | Medicare | $20.98 | ↓ -64% |
| United Healthcare | Medicare | $21.38 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.58 | ↓ -63% |
| Cigna | Medicare | $21.58 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $21.58 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $21.58 | ↓ -63% |
| United Healthcare | Unison Advantage Special Needs | $21.98 | ↓ -62% |
| Aetna | Medicare | $21.98 | ↓ -62% |
| UPMC Health Plan | Commercial | $25.35 | ↓ -57% |
| Aetna | Neighborhood Network | $25.62 | ↓ -56% |
| Aetna | EBR FI | $27.74 | ↓ -53% |
| Aetna | Home Depot Employer Group | $27.89 | ↓ -52% |
| Cigna | New Business ASO | $28.47 | ↓ -51% |
| Aetna | NBR ASO/FI | $28.47 | ↓ -51% |
| Cigna | NBR ASO/FI | $28.47 | ↓ -51% |
| Cigna | EBR | $29.20 | ↓ -50% |
| Aetna | EBR ASO | $29.20 | ↓ -50% |
| Cigna | Commercial | $29.20 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $32.26 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $32.42 | ↓ -45% |
| InterGroup | PPO | $36.50 | ↓ -38% |
| Geisinger | Medicaid/CHIP | $40.15 | ↓ -31% |
| PA Health & Wellness | PA Medicaid HMO | $40.15 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $43.20 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Indemnity | $43.43 | ↓ -26% |
| Coventry/First Health | Commercial | $51.10 | ↓ -13% |
| Private Health Care Systems | PPO | $58.40 | ↓ -0% |
| Highmark BCBS of PA | UPMC Emergent | $86.40 | ↑ +47% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, cangrelor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $572.40 | $10.99 – $636.65 |
| AHN WEXFORD HOSPITAL | WEXFORD | $911.09 | $12.80 – $41.59 |
| UPMC Community Osteopathic | Harrisburg | $572.40 | $18.48 – $636.65 |
| UPMC Hamot | Erie | $1,969.80 | $11.10 – $21.58 |
| UPMC Hanover | Hanover | $572.40 | $19.78 – $31.97 |
| UPMC Jameson | New Castle | $4,273.80 | $11.29 – $24.98 |
| UPMC Lititz | Lititz | $572.40 | $19.78 – $31.97 |
| UPMC Magee | Pittsburgh | $4,032.00 | $11.20 – $21.58 |