Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,771.20
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.
$2,952.00
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.
$89.45 with UPMC Health Plan vs $2,361.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $89.45 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $93.52 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $113.03 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $120.60 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $122.63 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $126.95 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $138.59 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $155.11 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $311.81 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $345.36 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $448.94 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $462.52 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Indemnity | $601.26 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $662.01 | ↓ -63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $674.49 | ↓ -62% |
| United Healthcare | Unison Advantage Non Special Needs | $693.24 | ↓ -61% |
| Aetna of PA | Medicare | $693.24 | ↓ -61% |
| United Healthcare | Medicare | $706.45 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $712.98 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $713.05 | ↓ -60% |
| Cigna | Medicare | $713.05 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $713.05 | ↓ -60% |
| United Healthcare | Unison Advantage Special Needs | $726.25 | ↓ -59% |
| Aetna | Medicare | $726.25 | ↓ -59% |
| Highmark BCBS of PA | UPMC Emergent | $925.05 | ↓ -48% |
| United Healthcare | Compass Exchange | $974.16 | ↓ -45% |
| Aetna | Neighborhood Network | $1,036.15 | ↓ -42% |
| UPMC Health Plan | Commercial | $1,048.03 | ↓ -41% |
| Aetna | EBR FI | $1,121.76 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,127.66 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,151.28 | ↓ -35% |
| United Healthcare | All Business | $1,151.28 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,151.28 | ↓ -35% |
| Cigna | New Business ASO | $1,151.28 | ↓ -35% |
| Aetna | EBR ASO | $1,180.80 | ↓ -33% |
| Cigna | EBR | $1,180.80 | ↓ -33% |
| Cigna | Commercial | $1,180.80 | ↓ -33% |
| InterGroup | PPO | $1,476.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $1,834.56 | ↑ +4% |
| Coventry/First Health | Commercial | $2,066.40 | ↑ +17% |
| Private Health Care Systems | PPO | $2,361.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,094.60 | $81.32 – $2,792.80 |
| UPMC Carlisle | Carlisle | $2,048.40 | $103.28 – $2,901.90 |
| UPMC Cole | Coudersport | $165.60 | $76.51 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,048.40 | $103.28 – $2,901.90 |
| UPMC Hamot | Erie | $2,868.60 | $89.45 – $960.26 |
| UPMC Northwest | Seneca | $3,253.20 | $89.45 – $693.24 |
| UPMC Hanover | Hanover | $2,048.40 | $103.28 – $1,058.50 |
| UPMC Horizon-Greenville | Greenville | $3,214.20 | $89.45 – $713.05 |