Nerve conduction studies 11-12 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,332.80
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.
$3,888.00
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.
$83.45 with Highmark BCBS of PA vs $3,110.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $83.45 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $217.97 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $218.60 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $228.54 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $241.53 | ↓ -90% |
| UPMC Health Plan | CHIP | $257.54 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $276.21 | ↓ -88% |
| Highmark BCBS of PA | Managed Care | $291.93 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $294.72 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $299.68 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $310.24 | ↓ -87% |
| UPMC Health Plan | Commercial | $312.53 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Indemnity | $323.47 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $338.68 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $354.54 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $507.23 | ↓ -78% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $516.79 | ↓ -78% |
| United Healthcare | Unison Advantage Non Special Needs | $531.15 | ↓ -77% |
| Aetna of PA | Medicare | $531.15 | ↓ -77% |
| United Healthcare | Medicare | $541.27 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $546.28 | ↓ -77% |
| Cigna | Medicare | $546.33 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $546.33 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $546.33 | ↓ -77% |
| Aetna | Medicare | $556.45 | ↓ -76% |
| United Healthcare | Unison Advantage Special Needs | $556.45 | ↓ -76% |
| Highmark BCBS of PA | UPMC Emergent | $583.86 | ↓ -75% |
| United Healthcare | Compass Exchange | $1,283.04 | ↓ -45% |
| Aetna | Neighborhood Network | $1,364.69 | ↓ -41% |
| Aetna | EBR FI | $1,477.44 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,485.22 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,516.32 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,516.32 | ↓ -35% |
| United Healthcare | All Business | $1,516.32 | ↓ -35% |
| Cigna | New Business ASO | $1,516.32 | ↓ -35% |
| Cigna | EBR | $1,555.20 | ↓ -33% |
| Cigna | Commercial | $1,555.20 | ↓ -33% |
| Aetna | EBR ASO | $1,555.20 | ↓ -33% |
| InterGroup | PPO | $1,944.00 | ↓ -17% |
| Coventry/First Health | Commercial | $2,721.60 | ↑ +17% |
| Private Health Care Systems | PPO | $3,110.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nerve conduction studies 11-12 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $542.40 | $77.55 – $723.20 |
| UPMC Bedford | Everett | $1,788.60 | $182.51 – $2,682.90 |
| UPMC Carlisle | Carlisle | $328.20 | $74.94 – $812.13 |
| UPMC Cole | Coudersport | $316.20 | $63.48 – $354.54 |
| UPMC Community Osteopathic | Harrisburg | $328.20 | $101.59 – $558.48 |
| UPMC Hamot | Erie | $2,557.80 | $82.66 – $720.95 |
| UPMC Northwest | Seneca | $2,280.00 | $214.54 – $531.15 |
| UPMC Hanover | Hanover | $328.20 | $101.59 – $811.01 |