Laryngoscopy w/w/o tracheoscopy aspiration at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,097.80
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.
$5,163.00
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.
$77.00 with UPMC Health Plan vs $4,130.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $77.00 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison Kids | $80.50 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $97.29 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $103.81 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $105.56 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $109.28 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $119.29 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $296.49 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $371.21 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $378.21 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $388.72 | ↓ -87% |
| Aetna of PA | Medicare | $388.72 | ↓ -87% |
| United Healthcare | Medicare | $396.12 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $399.79 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $399.83 | ↓ -87% |
| Cigna | Medicare | $399.83 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $399.83 | ↓ -87% |
| Aetna | Medicare | $407.23 | ↓ -87% |
| United Healthcare | Unison Advantage Special Needs | $407.23 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $550.23 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,225.10 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,592.54 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $1,640.71 | ↓ -47% |
| United Healthcare | Compass Exchange | $1,703.79 | ↓ -45% |
| UPMC Health Plan | CHIP | $1,732.70 | ↓ -44% |
| Aetna | Neighborhood Network | $1,812.21 | ↓ -42% |
| Aetna | EBR FI | $1,961.94 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,972.27 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,013.57 | ↓ -35% |
| Cigna | NBR ASO/FI | $2,013.57 | ↓ -35% |
| United Healthcare | All Business | $2,013.57 | ↓ -35% |
| Cigna | New Business ASO | $2,013.57 | ↓ -35% |
| Cigna | EBR | $2,065.20 | ↓ -33% |
| Cigna | Commercial | $2,065.20 | ↓ -33% |
| Aetna | EBR ASO | $2,065.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,132.85 | ↓ -31% |
| UPMC Health Plan | Commercial | $2,532.45 | ↓ -18% |
| InterGroup | PPO | $2,581.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $3,281.43 | ↑ +6% |
| Coventry/First Health | Commercial | $3,614.10 | ↑ +17% |
| Private Health Care Systems | PPO | $4,130.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Laryngoscopy w/w/o tracheoscopy aspiration at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $3,065.40 | $77.00 – $545.04 |
| UPMC Horizon-Greenville | Greenville | $2,502.60 | $77.00 – $694.70 |
| UPMC Passavant-McCandless | Pittsburgh | $3,716.40 | $77.00 – $550.23 |
| UPMC Presbyterian | Pittsburgh | $4,057.80 | $77.00 – $897.60 |
| UPMC St. Margaret | Pittsburgh | $2,712.00 | $77.00 – $550.23 |
| UPMC Altoona | Altoona | not published | $70.00 – $545.04 |
| UPMC Bedford | Everett | not published | $73.50 – $399.83 |