Mucopolysaccharides at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$217.80
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.
$363.00
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.
$18.00 with Health Partners Plans (Jefferson Health Plan) vs $290.40 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $18.00 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $19.80 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $20.70 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $25.02 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $26.69 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.10 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $28.17 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $28.58 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $29.12 | ↓ -87% |
| Aetna of PA | Medicare | $29.93 | ↓ -86% |
| United Healthcare | Unison Advantage Non Special Needs | $29.93 | ↓ -86% |
| United Healthcare | Medicare | $30.50 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $30.68 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $30.78 | ↓ -86% |
| Cigna | Medicare | $30.78 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.78 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.78 | ↓ -86% |
| Aetna | Medicare | $31.35 | ↓ -86% |
| United Healthcare | Unison Advantage Special Needs | $31.35 | ↓ -86% |
| UPMC Health Plan | Commercial | $45.14 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $54.62 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $94.96 | ↓ -56% |
| United Healthcare | Compass Exchange | $119.79 | ↓ -45% |
| Highmark BCBS of PA | Managed Care | $127.17 | ↓ -42% |
| Aetna | Neighborhood Network | $127.41 | ↓ -42% |
| Aetna | EBR FI | $137.94 | ↓ -37% |
| Aetna | Home Depot Employer Group | $138.67 | ↓ -36% |
| United Healthcare | All Business | $141.57 | ↓ -35% |
| Aetna | NBR ASO/FI | $141.57 | ↓ -35% |
| Cigna | NBR ASO/FI | $141.57 | ↓ -35% |
| Cigna | New Business ASO | $141.57 | ↓ -35% |
| Aetna | EBR ASO | $145.20 | ↓ -33% |
| Cigna | EBR | $145.20 | ↓ -33% |
| Cigna | Commercial | $145.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $158.10 | ↓ -27% |
| UPMC Health Plan | CHIP | $164.08 | ↓ -25% |
| InterGroup | PPO | $181.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $211.74 | ↓ -3% |
| Coventry/First Health | Commercial | $254.10 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $254.35 | ↑ +17% |
| Private Health Care Systems | PPO | $290.40 | ↑ +33% |
Visitor-reported prices
Comments
Mucopolysaccharides at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $280.80 | $18.00 – $374.40 |
| UPMC Hamot | Erie | $318.00 | $18.00 – $54.11 |
| UPMC Northwest | Seneca | $223.80 | $19.80 – $30.68 |
| UPMC Horizon-Greenville | Greenville | $223.20 | $18.00 – $53.48 |
| UPMC Jameson | New Castle | $226.20 | $19.80 – $55.06 |
| UPMC Kane | Kane | $279.00 | $19.80 – $123.01 |
| UPMC Magee | Pittsburgh | $162.00 | $19.80 – $54.62 |
| UPMC McKeesport | Mckeesport | $217.80 | $19.80 – $54.62 |