Kit cath ivl 2.5x40mm 135cm shockwave s4 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$9,505.80
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.
$15,843.00
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.
$3,960.75 with Aetna vs $12,674.40 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 |
|---|---|---|---|
| Aetna | Medicare | $3,960.75 | ↓ -58% |
| United Healthcare | Compass Exchange | $5,228.19 | ↓ -45% |
| UPMC Health Plan | CHIP | $5,545.05 | ↓ -42% |
| Aetna | Neighborhood Network | $5,560.89 | ↓ -42% |
| Aetna | EBR FI | $6,020.34 | ↓ -37% |
| Aetna | Home Depot Employer Group | $6,052.03 | ↓ -36% |
| Cigna | NBR ASO/FI | $6,178.77 | ↓ -35% |
| United Healthcare | All Business | $6,178.77 | ↓ -35% |
| Aetna | NBR ASO/FI | $6,178.77 | ↓ -35% |
| Cigna | New Business ASO | $6,178.77 | ↓ -35% |
| Cigna | Commercial | $6,337.20 | ↓ -33% |
| Cigna | EBR | $6,337.20 | ↓ -33% |
| Aetna | EBR ASO | $6,337.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $7,770.99 | ↓ -18% |
| InterGroup | PPO | $7,921.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,921.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $8,713.65 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $8,713.65 | ↓ -8% |
| Coventry/First Health | Commercial | $11,090.10 | ↑ +17% |
| Private Health Care Systems | PPO | $12,674.40 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Kit cath ivl 2.5x40mm 135cm shockwave s4 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,327.00 | $5,440.75 – $12,436.00 |
| UPMC Mercy | Pittsburgh | $10,076.40 | $4,198.50 – $15,114.60 |
| UPMC Passavant-McCandless | Pittsburgh | $12,000.60 | $5,000.25 – $17,000.85 |
| UPMC Presbyterian | Pittsburgh | $15,094.80 | $2,791.08 – $13,180.10 |
| UPMC St. Margaret | Pittsburgh | $8,967.60 | $2,742.75 – $9,325.35 |
| UPMC Williamsport | Williamsport | $10,797.00 | $4,858.65 – $16,195.50 |
| WellSpan Chambersburg Hospital | Chambersburg | $6,204.00 | $5,583.60 – $5,583.60 |
| Uniontown Hospital | Uniontown | $4,863.00 | not published |