Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,822.60
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.
$6,371.00
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.
$509.38 with UPMC Health Plan vs $10,975.18 with Aetna — 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 | $509.38 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $532.53 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $643.62 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $686.73 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $698.31 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $722.90 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $789.16 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $922.00 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,052.87 | ↓ -46% |
| United Healthcare | Compass Exchange | $2,102.43 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $2,131.19 | ↓ -44% |
| Aetna | Neighborhood Network | $2,236.22 | ↓ -42% |
| Aetna | EBR FI | $2,420.98 | ↓ -37% |
| Aetna | Home Depot Employer Group | $2,433.72 | ↓ -36% |
| Cigna | NBR ASO/FI | $2,484.69 | ↓ -35% |
| United Healthcare | All Business | $2,484.69 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,484.69 | ↓ -35% |
| Cigna | New Business ASO | $2,484.69 | ↓ -35% |
| Cigna | EBR | $2,548.40 | ↓ -33% |
| Cigna | Commercial | $2,548.40 | ↓ -33% |
| Aetna | EBR ASO | $2,548.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,668.57 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $2,749.29 | ↓ -28% |
| UPMC Health Plan | Commercial | $3,124.98 | ↓ -18% |
| InterGroup | PPO | $3,185.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,573.96 | ↓ -7% |
| Coventry/First Health | Commercial | $4,459.70 | ↑ +17% |
| Private Health Care Systems | PPO | $5,096.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $5,498.59 | ↑ +44% |
| UPMC Health Plan | CHIP | $8,236.37 | ↑ +115% |
| UPMC Health Plan | Managed Medicare | $10,004.38 | ↑ +162% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $10,192.95 | ↑ +167% |
| Aetna of PA | Medicare | $10,476.31 | ↑ +174% |
| United Healthcare | Unison Advantage Non Special Needs | $10,476.31 | ↑ +174% |
| United Healthcare | Medicare | $10,675.86 | ↑ +179% |
| Highmark Wholecare (prev Gateway) | Medicare | $10,774.64 | ↑ +182% |
| Cigna | Medicare | $10,775.64 | ↑ +182% |
| AmeriHealth Caritas | Medicare | $10,775.64 | ↑ +182% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $10,775.64 | ↑ +182% |
| United Healthcare | Unison Advantage Special Needs | $10,975.18 | ↑ +187% |
| Aetna | Medicare | $10,975.18 | ↑ +187% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12,450.60 | $463.07 – $16,600.80 |
| UPMC Carlisle | Carlisle | $25,401.60 | $588.10 – $35,985.60 |
| UPMC Cole | Coudersport | $1,003.20 | $463.48 – $1,954.88 |
| UPMC Community Osteopathic | Harrisburg | $25,401.60 | $588.10 – $35,985.60 |
| UPMC Hamot | Erie | $12,843.00 | $509.38 – $14,511.47 |
| UPMC Hanover | Hanover | $25,401.60 | $588.10 – $15,996.05 |
| UPMC Jameson | New Castle | $18,378.00 | $509.38 – $13,469.54 |
| UPMC Lititz | Lititz | $25,401.60 | $555.10 – $1,948.06 |