Insertion intra aortic balloon assist device percutaneous at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,115.60
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.
$3,526.00
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.
$484.12 with Highmark BCBS of PA vs $2,887.17 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 | $484.12 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $492.41 | ↓ -77% |
| UPMC Health Plan | Commercial | $552.80 | ↓ -74% |
| Aetna | Medicare | $881.50 | ↓ -58% |
| UPMC Health Plan | CHIP | $967.68 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,077.91 | ↓ -49% |
| United Healthcare | Compass Exchange | $1,163.58 | ↓ -45% |
| Aetna | Neighborhood Network | $1,237.63 | ↓ -41% |
| Aetna | EBR FI | $1,339.88 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,346.93 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,375.14 | ↓ -35% |
| United Healthcare | All Business | $1,375.14 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,375.14 | ↓ -35% |
| Cigna | New Business ASO | $1,375.14 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,401.20 | ↓ -34% |
| Cigna | EBR | $1,410.40 | ↓ -33% |
| Cigna | Commercial | $1,410.40 | ↓ -33% |
| Aetna | EBR ASO | $1,410.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $1,443.58 | ↓ -32% |
| InterGroup | PPO | $1,763.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,763.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,876.59 | ↓ -11% |
| Geisinger | Medicaid/CHIP | $1,939.30 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $1,939.30 | ↓ -8% |
| Coventry/First Health | Commercial | $2,468.20 | ↑ +17% |
| Private Health Care Systems | PPO | $2,820.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $2,887.17 | ↑ +36% |
Visitor-reported prices
Comments
Insertion intra aortic balloon assist device percutaneous at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $921.60 | $479.55 – $1,228.80 |
| UPMC Carlisle | Carlisle | $3,600.00 | $319.50 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $3,600.00 | $319.50 – $5,100.00 |
| UPMC Hamot | Erie | $3,461.40 | $479.55 – $1,201.41 |
| UPMC Hanover | Hanover | $3,600.00 | $319.50 – $967.68 |
| UPMC Jameson | New Castle | $796.80 | $275.31 – $967.68 |
| UPMC Lititz | Lititz | $3,600.00 | $275.31 – $967.68 |
| UPMC McKeesport | Mckeesport | $2,263.80 | $302.84 – $526.97 |