Intro cath dialysis circuit w/pta at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$7,523.40
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.
$12,539.00
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.
$195.43 with UPMC Health Plan vs $10,031.20 with Private Health Care Systems — 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 | $195.43 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $204.31 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $246.93 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $263.47 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $267.91 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $277.35 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $302.77 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $762.25 | ↓ -90% |
| UPMC Health Plan | Commercial | $1,090.67 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $1,532.28 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,697.19 | ↓ -77% |
| UPMC Health Plan | CHIP | $1,909.21 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,206.21 | ↓ -71% |
| Highmark BCBS of PA | Managed Care | $2,272.95 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,954.73 | ↓ -61% |
| United Healthcare | Compass Exchange | $4,137.87 | ↓ -45% |
| Aetna | Neighborhood Network | $4,401.19 | ↓ -41% |
| Highmark BCBS of PA | UPMC Emergent | $4,545.90 | ↓ -40% |
| Aetna | EBR FI | $4,764.82 | ↓ -37% |
| Aetna | Home Depot Employer Group | $4,789.90 | ↓ -36% |
| Cigna | NBR ASO/FI | $4,890.21 | ↓ -35% |
| United Healthcare | All Business | $4,890.21 | ↓ -35% |
| Aetna | NBR ASO/FI | $4,890.21 | ↓ -35% |
| Cigna | New Business ASO | $4,890.21 | ↓ -35% |
| Aetna | EBR ASO | $5,015.60 | ↓ -33% |
| Cigna | EBR | $5,015.60 | ↓ -33% |
| Cigna | Commercial | $5,015.60 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $5,450.40 | ↓ -28% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5,553.13 | ↓ -26% |
| Aetna of PA | Medicare | $5,707.51 | ↓ -24% |
| United Healthcare | Unison Advantage Non Special Needs | $5,707.51 | ↓ -24% |
| United Healthcare | Medicare | $5,816.22 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,870.03 | ↓ -22% |
| AmeriHealth Caritas | Medicare | $5,870.58 | ↓ -22% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,870.58 | ↓ -22% |
| Cigna | Medicare | $5,870.58 | ↓ -22% |
| United Healthcare | Unison Advantage Special Needs | $5,979.29 | ↓ -21% |
| Aetna | Medicare | $5,979.29 | ↓ -21% |
| InterGroup | PPO | $6,269.50 | ↓ -17% |
| Coventry/First Health | Commercial | $8,777.30 | ↑ +17% |
| Private Health Care Systems | PPO | $10,031.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/pta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,684.20 | $177.66 – $10,245.60 |
| UPMC Carlisle | Carlisle | $12,150.60 | $225.63 – $17,213.35 |
| UPMC Community Osteopathic | Harrisburg | $12,150.60 | $225.63 – $17,213.35 |
| UPMC Hamot | Erie | $5,144.40 | $195.43 – $7,905.86 |
| UPMC Northwest | Seneca | $8,154.60 | $195.43 – $5,707.51 |
| UPMC Hanover | Hanover | $12,150.60 | $225.63 – $8,714.66 |
| UPMC Lititz | Lititz | $12,150.60 | $225.63 – $8,761.73 |
| UPMC Magee | Pittsburgh | $6,959.40 | $195.43 – $5,870.58 |