Ins cath ren art 2nd+ uni at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$7,236.60
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.
?
What you pay up front if you don't use insurance.
$12,061.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$344.41 with UPMC Health Plan vs $15,997.98 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $344.41 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $360.06 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $435.18 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $464.33 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $472.15 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $488.78 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $533.59 | ↓ -93% |
| UPMC Health Plan | Commercial | $1,266.59 | ↓ -82% |
| UPMC Health Plan | CHIP | $2,217.15 | ↓ -69% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,682.53 | ↓ -63% |
| Aetna | Medicare | $3,015.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $3,075.88 | ↓ -57% |
| United Healthcare | Compass Exchange | $3,980.13 | ↓ -45% |
| Aetna | Neighborhood Network | $4,233.41 | ↓ -42% |
| Aetna | EBR FI | $4,583.18 | ↓ -37% |
| Aetna | Home Depot Employer Group | $4,607.30 | ↓ -36% |
| Aetna | NBR ASO/FI | $4,703.79 | ↓ -35% |
| Cigna | NBR ASO/FI | $4,703.79 | ↓ -35% |
| United Healthcare | All Business | $4,703.79 | ↓ -35% |
| Cigna | New Business ASO | $4,703.79 | ↓ -35% |
| Cigna | Commercial | $4,824.40 | ↓ -33% |
| Aetna | EBR ASO | $4,824.40 | ↓ -33% |
| Cigna | EBR | $4,824.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,972.76 | ↓ -17% |
| InterGroup | PPO | $6,030.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,030.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,764.12 | ↑ +7% |
| Highmark BCBS of PA | Managed Care | $7,998.99 | ↑ +11% |
| Coventry/First Health | Commercial | $8,442.70 | ↑ +17% |
| Private Health Care Systems | PPO | $9,648.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,398.33 | ↑ +44% |
| Highmark BCBS of PA | UPMC Emergent | $15,997.98 | ↑ +121% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ins cath ren art 2nd+ uni at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,785.80 | $313.10 – $7,714.40 |
| UPMC Carlisle | Carlisle | $10,450.20 | $397.64 – $14,804.45 |
| UPMC Community Osteopathic | Harrisburg | $10,450.20 | $410.16 – $14,804.45 |
| UPMC Hamot | Erie | $5,618.40 | $344.41 – $7,495.67 |
| UPMC Hanover | Hanover | $10,450.20 | $397.64 – $8,262.51 |
| UPMC Lititz | Lititz | $10,450.20 | $397.64 – $8,307.14 |
| UPMC Magee | Pittsburgh | $11,560.20 | $344.41 – $5,565.99 |
| UPMC Memorial | York | $10,450.20 | $397.64 – $8,293.65 |