Mopath procedure level 3 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,699.20
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.
$2,832.00
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.
$100.22 with UPMC Health Plan vs $1,466.83 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 | Commercial | $100.22 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $148.57 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $150.74 | ↓ -91% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.58 | ↓ -91% |
| Aetna of PA | Medicare | $157.85 | ↓ -91% |
| United Healthcare | Unison Advantage Non Special Needs | $157.85 | ↓ -91% |
| United Healthcare | Medicare | $160.85 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $162.34 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $162.36 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $162.36 | ↓ -90% |
| Cigna | Medicare | $162.36 | ↓ -90% |
| United Healthcare | Unison Advantage Special Needs | $165.36 | ↓ -90% |
| Aetna | Medicare | $165.36 | ↓ -90% |
| United Healthcare | Compass Exchange | $257.40 | ↓ -85% |
| Aetna | Neighborhood Network | $273.78 | ↓ -84% |
| Aetna | EBR FI | $296.40 | ↓ -83% |
| Aetna | Home Depot Employer Group | $297.96 | ↓ -82% |
| Aetna | NBR ASO/FI | $304.20 | ↓ -82% |
| United Healthcare | All Business | $304.20 | ↓ -82% |
| Cigna | NBR ASO/FI | $304.20 | ↓ -82% |
| Cigna | New Business ASO | $304.20 | ↓ -82% |
| Cigna | EBR | $312.00 | ↓ -82% |
| Cigna | Commercial | $312.00 | ↓ -82% |
| Aetna | EBR ASO | $312.00 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $315.03 | ↓ -81% |
| UPMC Health Plan | CHIP | $364.34 | ↓ -79% |
| InterGroup | PPO | $390.00 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $429.00 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $429.00 | ↓ -75% |
| Coventry/First Health | Commercial | $546.00 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $547.62 | ↓ -68% |
| Private Health Care Systems | PPO | $624.00 | ↓ -63% |
| Highmark BCBS of PA | Managed Care | $733.42 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $911.79 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,221.14 | ↓ -28% |
| Highmark BCBS of PA | UPMC Emergent | $1,466.83 | ↓ -14% |
Visitor-reported prices
Comments
Mopath procedure level 3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,780.80 | $148.57 – $504.80 |
| UPMC Bedford | Everett | $1,366.20 | $54.24 – $1,841.40 |
| UPMC Cole | Coudersport | $828.60 | $53.00 – $1,104.80 |
| UPMC Hamot | Erie | $1,301.40 | $148.57 – $312.06 |
| UPMC Northwest | Seneca | $2,046.60 | $101.16 – $162.36 |
| UPMC Horizon-Greenville | Greenville | $1,718.40 | $101.48 – $282.09 |
| UPMC Jameson | New Castle | $2,046.60 | $105.45 – $317.56 |
| UPMC Magee | Pittsburgh | $2,046.60 | $106.05 – $315.03 |