Insert pm/icd lead dual at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,933.40
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.
$4,889.00
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.
$707.25 with Highmark BCBS of PA vs $12,194.22 with UPMC Health Plan — 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 | $707.25 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $1,046.78 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,574.73 | ↓ -46% |
| United Healthcare | Compass Exchange | $1,613.37 | ↓ -45% |
| Aetna | Neighborhood Network | $1,716.04 | ↓ -41% |
| Aetna | EBR FI | $1,857.82 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,867.60 | ↓ -36% |
| United Healthcare | All Business | $1,906.71 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,906.71 | ↓ -35% |
| Cigna | New Business ASO | $1,906.71 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,906.71 | ↓ -35% |
| Aetna | EBR ASO | $1,955.60 | ↓ -33% |
| Cigna | EBR | $1,955.60 | ↓ -33% |
| Cigna | Commercial | $1,955.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,047.02 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $2,108.94 | ↓ -28% |
| UPMC Health Plan | Commercial | $2,398.05 | ↓ -18% |
| InterGroup | PPO | $2,444.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $2,688.95 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $2,688.95 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,741.53 | ↓ -7% |
| Coventry/First Health | Commercial | $3,422.30 | ↑ +17% |
| Private Health Care Systems | PPO | $3,911.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $4,217.89 | ↑ +44% |
| UPMC Health Plan | Managed Medicare | $7,911.45 | ↑ +170% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $8,060.58 | ↑ +175% |
| United Healthcare | Unison Advantage Non Special Needs | $8,284.66 | ↑ +182% |
| Aetna of PA | Medicare | $8,284.66 | ↑ +182% |
| United Healthcare | Medicare | $8,442.46 | ↑ +188% |
| Highmark Wholecare (prev Gateway) | Medicare | $8,520.57 | ↑ +190% |
| Cigna | Medicare | $8,521.36 | ↑ +190% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8,521.36 | ↑ +190% |
| AmeriHealth Caritas | Medicare | $8,521.36 | ↑ +190% |
| Aetna | Medicare | $8,679.17 | ↑ +196% |
| United Healthcare | Unison Advantage Special Needs | $8,679.17 | ↑ +196% |
| UPMC Health Plan | CHIP | $12,194.22 | ↑ +316% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert pm/icd lead dual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,804.80 | $700.58 – $8,521.36 |
| UPMC Carlisle | Carlisle | $11,583.60 | $1,016.56 – $16,410.10 |
| UPMC Community Osteopathic | Harrisburg | $11,583.60 | $1,016.56 – $16,410.10 |
| UPMC Hamot | Erie | $5,272.80 | $700.58 – $11,475.67 |
| UPMC Hanover | Hanover | $11,583.60 | $1,016.56 – $12,649.66 |
| UPMC Lititz | Lititz | $11,583.60 | $1,016.56 – $12,718.00 |
| UPMC Memorial | York | $11,583.60 | $571.00 – $12,697.34 |
| UPMC Mercy | Pittsburgh | $6,057.00 | $700.58 – $8,679.17 |