Irrigation implantable venous access device for drug delivery systems at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$269.40
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.
$449.00
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.
$21.43 with UPMC Health Plan vs $367.75 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 | $21.43 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $22.40 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $27.08 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.89 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $29.38 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.41 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $33.20 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $42.65 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $47.68 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $56.78 | ↓ -79% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $57.85 | ↓ -79% |
| Aetna of PA | Medicare | $59.46 | ↓ -78% |
| United Healthcare | Unison Advantage Non Special Needs | $59.46 | ↓ -78% |
| United Healthcare | Medicare | $60.59 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.16 | ↓ -77% |
| Cigna | Medicare | $61.16 | ↓ -77% |
| United Healthcare | Unison Advantage Special Needs | $62.29 | ↓ -77% |
| Aetna | Medicare | $62.29 | ↓ -77% |
| UPMC Health Plan | CHIP | $85.57 | ↓ -68% |
| UPMC Health Plan | Commercial | $103.84 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $137.30 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $138.01 | ↓ -49% |
| United Healthcare | Compass Exchange | $148.17 | ↓ -45% |
| Aetna | Neighborhood Network | $157.60 | ↓ -41% |
| Aetna | EBR FI | $170.62 | ↓ -37% |
| Aetna | Home Depot Employer Group | $171.52 | ↓ -36% |
| Cigna | NBR ASO/FI | $175.11 | ↓ -35% |
| Cigna | New Business ASO | $175.11 | ↓ -35% |
| Aetna | NBR ASO/FI | $175.11 | ↓ -35% |
| United Healthcare | All Business | $175.11 | ↓ -35% |
| Cigna | EBR | $179.60 | ↓ -33% |
| Aetna | EBR ASO | $179.60 | ↓ -33% |
| Cigna | Commercial | $179.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $183.88 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $184.83 | ↓ -31% |
| InterGroup | PPO | $224.50 | ↓ -17% |
| Coventry/First Health | Commercial | $314.30 | ↑ +17% |
| Private Health Care Systems | PPO | $359.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $367.75 | ↑ +37% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Irrigation implantable venous access device for drug delivery systems at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $166.80 | $19.48 – $222.40 |
| UPMC Bedford | Everett | $149.40 | $20.43 – $224.10 |
| UPMC Carlisle | Carlisle | $136.80 | $24.74 – $193.80 |
| UPMC Cole | Coudersport | $112.20 | $15.25 – $46.20 |
| UPMC Community Osteopathic | Harrisburg | $136.80 | $24.74 – $193.80 |
| UPMC Hamot | Erie | $158.40 | $21.43 – $81.67 |
| UPMC Northwest | Seneca | $147.60 | $21.43 – $59.46 |
| UPMC Hanover | Hanover | $136.80 | $24.74 – $90.78 |