Metered dose inhaler drug at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,718.40
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.
$2,148.00
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.
$2.72 with Health Partners Plans (Jefferson Health Plan) vs $171.36 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2.72 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $2.86 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison Kids | $3.13 | ↓ -100% |
| UPMC Health Plan | CHIP | $10.64 | ↓ -99% |
| UPMC Health Plan | Commercial | $12.91 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $18.30 | ↓ -99% |
| Aetna | Medicare | $38.25 | ↓ -98% |
| United Healthcare | Compass Exchange | $52.02 | ↓ -97% |
| Aetna | Neighborhood Network | $53.70 | ↓ -97% |
| Aetna | EBR FI | $58.14 | ↓ -97% |
| Aetna | Home Depot Employer Group | $58.45 | ↓ -97% |
| Cigna | NBR ASO/FI | $59.67 | ↓ -97% |
| Aetna | NBR ASO/FI | $59.67 | ↓ -97% |
| Cigna | New Business ASO | $59.67 | ↓ -97% |
| United Healthcare | All Business | $61.20 | ↓ -96% |
| Aetna | EBR ASO | $61.20 | ↓ -96% |
| Cigna | EBR | $61.20 | ↓ -96% |
| Cigna | Commercial | $61.20 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $76.50 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $76.50 | ↓ -96% |
| InterGroup | PPO | $76.50 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $84.15 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $84.15 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $85.68 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $85.68 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity | $87.21 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $87.21 | ↓ -95% |
| Coventry/First Health | Commercial | $107.10 | ↓ -94% |
| Private Health Care Systems | PPO | $122.40 | ↓ -93% |
| Highmark BCBS of PA | UPMC Emergent | $171.36 | ↓ -90% |
Visitor-reported prices
Comments
Metered dose inhaler drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,149.60 | $2.72 – $84.80 |
| UPMC Bedford | Everett | $1,111.20 | $2.72 – $137.70 |
| UPMC Hamot | Erie | $1,932.80 | $2.72 – $3.27 |
| UPMC Northwest | Seneca | $1,111.20 | $2.86 – $12.88 |
| UPMC Horizon-Greenville | Greenville | $1,718.40 | $2.22 – $10.64 |
| UPMC Jameson | New Castle | $1,111.20 | $10.64 – $10.64 |
| UPMC Kane | Kane | $408.60 | $7.84 – $7.84 |
| UPMC Magee | Pittsburgh | $3,034.20 | $2.99 – $10.64 |