Intro catheter aorta at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,504.60
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.
$5,841.00
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.
$122.10 with UPMC Health Plan vs $5,038.97 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $122.10 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $127.65 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $154.28 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $164.61 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $167.39 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $173.28 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $189.17 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $544.88 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $844.93 | ↓ -76% |
| Aetna | Medicare | $1,460.25 | ↓ -58% |
| UPMC Health Plan | Commercial | $1,507.00 | ↓ -57% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,881.27 | ↓ -46% |
| United Healthcare | Compass Exchange | $1,927.53 | ↓ -45% |
| Aetna | Neighborhood Network | $2,050.19 | ↓ -42% |
| Aetna | EBR FI | $2,219.58 | ↓ -37% |
| Aetna | Home Depot Employer Group | $2,231.26 | ↓ -36% |
| Cigna | NBR ASO/FI | $2,277.99 | ↓ -35% |
| United Healthcare | All Business | $2,277.99 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,277.99 | ↓ -35% |
| Cigna | New Business ASO | $2,277.99 | ↓ -35% |
| Cigna | EBR | $2,336.40 | ↓ -33% |
| Aetna | EBR ASO | $2,336.40 | ↓ -33% |
| Cigna | Commercial | $2,336.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,445.51 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $2,519.49 | ↓ -28% |
| UPMC Health Plan | CHIP | $2,637.99 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,920.50 | ↓ -17% |
| InterGroup | PPO | $2,920.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,275.22 | ↓ -7% |
| Coventry/First Health | Commercial | $4,088.70 | ↑ +17% |
| Private Health Care Systems | PPO | $4,672.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $5,038.97 | ↑ +44% |
Visitor-reported prices
Comments
Intro catheter aorta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,882.80 | $111.00 – $2,510.40 |
| UPMC Carlisle | Carlisle | $4,321.20 | $140.97 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,321.20 | $149.85 – $6,121.70 |
| UPMC Hamot | Erie | $3,559.20 | $122.10 – $836.96 |
| UPMC Northwest | Seneca | $3,157.20 | $122.10 – $2,172.24 |
| UPMC Hanover | Hanover | $4,321.20 | $140.97 – $1,016.56 |
| UPMC Jameson | New Castle | $973.20 | $122.10 – $892.40 |
| UPMC Lititz | Lititz | $4,321.20 | $140.97 – $1,016.56 |