Mopath procedure level 9 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$369.60
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.
$616.00
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.
$203.28 with United Healthcare vs $11,974.00 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 |
|---|---|---|---|
| United Healthcare | Compass Exchange | $203.28 | ↓ -45% |
| Aetna | Neighborhood Network | $216.22 | ↓ -41% |
| Aetna | EBR FI | $234.08 | ↓ -37% |
| Aetna | Home Depot Employer Group | $235.31 | ↓ -36% |
| Aetna | NBR ASO/FI | $240.24 | ↓ -35% |
| United Healthcare | All Business | $240.24 | ↓ -35% |
| Cigna | New Business ASO | $240.24 | ↓ -35% |
| Cigna | NBR ASO/FI | $240.24 | ↓ -35% |
| Aetna | EBR ASO | $246.40 | ↓ -33% |
| Cigna | EBR | $246.40 | ↓ -33% |
| Cigna | Commercial | $246.40 | ↓ -33% |
| InterGroup | PPO | $308.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $338.80 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $338.80 | ↓ -8% |
| Coventry/First Health | Commercial | $431.20 | ↑ +17% |
| Private Health Care Systems | PPO | $492.80 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $1,976.64 | ↑ +435% |
| UPMC Health Plan | Managed Medicare | $2,005.40 | ↑ +443% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,043.20 | ↑ +453% |
| Aetna of PA | Medicare | $2,100.00 | ↑ +468% |
| United Healthcare | Unison Advantage Non Special Needs | $2,100.00 | ↑ +468% |
| United Healthcare | Medicare | $2,140.00 | ↑ +479% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,159.80 | ↑ +484% |
| AmeriHealth Caritas | Medicare | $2,160.00 | ↑ +484% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,160.00 | ↑ +484% |
| Cigna | Medicare | $2,160.00 | ↑ +484% |
| United Healthcare | Unison Advantage Special Needs | $2,200.00 | ↑ +495% |
| Aetna | Medicare | $2,200.00 | ↑ +495% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,571.61 | ↑ +596% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,470.34 | ↑ +1110% |
| UPMC Health Plan | Commercial | $4,865.15 | ↑ +1216% |
| Highmark BCBS of PA | Managed Care | $5,987.00 | ↑ +1520% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,443.08 | ↑ +1914% |
| Highmark BCBS of PA | Commercial - Indemnity | $9,968.37 | ↑ +2597% |
| UPMC Health Plan | CHIP | $10,435.04 | ↑ +2723% |
| Highmark BCBS of PA | UPMC Emergent | $11,974.00 | ↑ +3140% |
Visitor-reported prices
Comments
Mopath procedure level 9 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,734.20 | $268.50 – $2,547.36 |
| UPMC Hamot | Erie | $8,462.40 | $1,976.64 – $2,547.36 |
| UPMC Northwest | Seneca | $3,327.60 | $1,813.80 – $2,160.00 |
| UPMC Horizon-Greenville | Greenville | $1,947.00 | $1,790.60 – $3,753.00 |
| UPMC Jameson | New Castle | $8,332.80 | $1,403.00 – $2,592.31 |
| UPMC Magee | Pittsburgh | $10,515.00 | $1,871.80 – $2,571.61 |
| UPMC McKeesport | Mckeesport | $348.60 | $1,853.80 – $2,571.61 |
| UPMC Mercy | Pittsburgh | $1,947.00 | $1,667.20 – $2,547.36 |