Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,353.60
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.
$2,256.00
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.
$591.77 with Highmark BCBS of PA vs $3,529.19 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $591.77 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $662.01 | ↓ -51% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $674.49 | ↓ -50% |
| Aetna of PA | Medicare | $693.24 | ↓ -49% |
| United Healthcare | Unison Advantage Non Special Needs | $693.24 | ↓ -49% |
| United Healthcare | Medicare | $706.45 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $712.98 | ↓ -47% |
| Cigna | Medicare | $713.05 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $713.05 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $713.05 | ↓ -47% |
| Aetna | Medicare | $726.25 | ↓ -46% |
| United Healthcare | Unison Advantage Special Needs | $726.25 | ↓ -46% |
| United Healthcare | Compass Exchange | $744.48 | ↓ -45% |
| Aetna | Neighborhood Network | $791.86 | ↓ -41% |
| Aetna | EBR FI | $857.28 | ↓ -37% |
| Aetna | Home Depot Employer Group | $861.79 | ↓ -36% |
| Aetna | NBR ASO/FI | $879.84 | ↓ -35% |
| Cigna | New Business ASO | $879.84 | ↓ -35% |
| Cigna | NBR ASO/FI | $879.84 | ↓ -35% |
| United Healthcare | All Business | $879.84 | ↓ -35% |
| Cigna | Commercial | $902.40 | ↓ -33% |
| Aetna | EBR ASO | $902.40 | ↓ -33% |
| Cigna | EBR | $902.40 | ↓ -33% |
| InterGroup | PPO | $1,128.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $1,240.80 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $1,240.80 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,317.61 | ↓ -3% |
| UPMC Health Plan | CHIP | $1,486.07 | ↑ +10% |
| Coventry/First Health | Commercial | $1,579.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,712.78 | ↑ +27% |
| Highmark BCBS of PA | Managed Care | $1,764.60 | ↑ +30% |
| UPMC Health Plan | Commercial | $1,803.35 | ↑ +33% |
| Private Health Care Systems | PPO | $1,804.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,293.90 | ↑ +69% |
| Highmark BCBS of PA | UPMC Emergent | $3,529.19 | ↑ +161% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,647.20 | $364.36 – $3,750.20 |
| UPMC Community Osteopathic | Harrisburg | $2,647.20 | $514.90 – $3,750.20 |
| UPMC Northwest | Seneca | $2,521.20 | $598.76 – $713.05 |
| UPMC Hanover | Hanover | $2,647.20 | $514.90 – $1,486.07 |
| UPMC Horizon-Greenville | Greenville | $2,912.40 | $591.10 – $1,140.40 |
| UPMC Jameson | New Castle | $2,912.40 | $452.01 – $825.29 |
| UPMC Lititz | Lititz | $2,647.20 | $514.90 – $1,486.07 |
| UPMC Magee | Pittsburgh | $3,190.20 | $591.77 – $726.25 |