Interrog dev eval scrms ip at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$192.60
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.
$321.00
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.
$23.41 with UPMC Health Plan vs $321.64 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $23.41 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $23.85 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $24.52 | ↓ -87% |
| Aetna of PA | Medicare | $24.52 | ↓ -87% |
| United Healthcare | Medicare | $24.98 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $25.22 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $25.22 | ↓ -87% |
| Cigna | Medicare | $25.22 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $25.22 | ↓ -87% |
| United Healthcare | Unison Advantage Special Needs | $25.68 | ↓ -87% |
| Aetna | Medicare | $25.68 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $29.74 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $33.59 | ↓ -83% |
| United Healthcare Community Plan for Families | Unison Kids | $35.12 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $42.45 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $45.29 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $46.05 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.68 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $52.05 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $62.33 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $77.69 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $86.08 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $104.05 | ↓ -46% |
| United Healthcare | Compass Exchange | $105.93 | ↓ -45% |
| Aetna | Neighborhood Network | $112.67 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $115.29 | ↓ -40% |
| Aetna | EBR FI | $121.98 | ↓ -37% |
| Aetna | Home Depot Employer Group | $122.62 | ↓ -36% |
| United Healthcare | All Business | $125.19 | ↓ -35% |
| Cigna | NBR ASO/FI | $125.19 | ↓ -35% |
| Aetna | NBR ASO/FI | $125.19 | ↓ -35% |
| Cigna | New Business ASO | $125.19 | ↓ -35% |
| Cigna | Commercial | $128.40 | ↓ -33% |
| Cigna | EBR | $128.40 | ↓ -33% |
| Aetna | EBR ASO | $128.40 | ↓ -33% |
| InterGroup | PPO | $160.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $208.10 | ↑ +8% |
| Coventry/First Health | Commercial | $224.70 | ↑ +17% |
| Private Health Care Systems | PPO | $256.80 | ↑ +33% |
| UPMC Health Plan | CHIP | $265.05 | ↑ +38% |
| UPMC Health Plan | Commercial | $321.64 | ↑ +67% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Interrog dev eval scrms ip at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $48.00 | $22.18 – $64.00 |
| UPMC Hamot | Erie | $183.60 | $26.95 – $62.33 |
| UPMC Jameson | New Castle | $181.80 | $13.78 – $62.33 |
| UPMC Magee | Pittsburgh | $174.00 | $21.85 – $62.33 |
| UPMC Mercy | Pittsburgh | $133.20 | $19.46 – $70.73 |
| UPMC Passavant-McCandless | Pittsburgh | $163.80 | $21.70 – $72.48 |
| UPMC Presbyterian | Pittsburgh | $649.80 | $14.38 – $82.25 |
| UPMC St. Margaret | Pittsburgh | $159.00 | $20.16 – $62.33 |