Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$557.40
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.
$929.00
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.
$34.12 with UPMC Health Plan vs $759.53 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 Health Plan | Managed Medicaid | $34.12 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $35.67 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $43.11 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.00 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $46.78 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $48.43 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $52.86 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $79.99 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $98.48 | ↓ -82% |
| UPMC Health Plan | CHIP | $118.61 | ↓ -79% |
| UPMC Health Plan | Commercial | $143.93 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $201.41 | ↓ -64% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $205.21 | ↓ -63% |
| Aetna of PA | Medicare | $210.91 | ↓ -62% |
| United Healthcare | Unison Advantage Non Special Needs | $210.91 | ↓ -62% |
| United Healthcare | Medicare | $214.93 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $216.92 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $216.94 | ↓ -61% |
| Cigna | Medicare | $216.94 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $216.94 | ↓ -61% |
| United Healthcare | Unison Advantage Special Needs | $220.96 | ↓ -60% |
| Aetna | Medicare | $220.96 | ↓ -60% |
| Highmark BCBS of PA | Managed Care - Social Mission | $283.58 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $285.03 | ↓ -49% |
| United Healthcare | Compass Exchange | $306.57 | ↓ -45% |
| Aetna | Neighborhood Network | $326.08 | ↓ -41% |
| Aetna | EBR FI | $353.02 | ↓ -37% |
| Aetna | Home Depot Employer Group | $354.88 | ↓ -36% |
| Cigna | NBR ASO/FI | $362.31 | ↓ -35% |
| Cigna | New Business ASO | $362.31 | ↓ -35% |
| Aetna | NBR ASO/FI | $362.31 | ↓ -35% |
| United Healthcare | All Business | $362.31 | ↓ -35% |
| Cigna | EBR | $371.60 | ↓ -33% |
| Aetna | EBR ASO | $371.60 | ↓ -33% |
| Cigna | Commercial | $371.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $379.77 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $381.73 | ↓ -32% |
| InterGroup | PPO | $464.50 | ↓ -17% |
| Coventry/First Health | Commercial | $650.30 | ↑ +17% |
| Private Health Care Systems | PPO | $743.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $759.53 | ↑ +36% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $166.80 | $31.02 – $222.40 |
| UPMC Bedford | Everett | $235.20 | $32.57 – $352.80 |
| UPMC Carlisle | Carlisle | $522.00 | $39.40 – $739.50 |
| UPMC Cole | Coudersport | $226.20 | $32.57 – $133.60 |
| UPMC Community Osteopathic | Harrisburg | $522.00 | $39.40 – $549.95 |
| UPMC Hamot | Erie | $158.40 | $34.12 – $250.38 |
| UPMC Northwest | Seneca | $306.00 | $34.12 – $210.91 |
| UPMC Hanover | Hanover | $522.00 | $39.40 – $322.03 |