Njx aa&/strd nrv nrvtg si jt at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$640.20
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.
$1,067.00
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.
$116.49 with Highmark BCBS of PA vs $1,530.87 with UPMC Health Plan — 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 | $116.49 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $249.25 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $259.38 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $337.17 | ↓ -47% |
| Highmark BCBS of PA | Managed Care | $347.37 | ↓ -46% |
| United Healthcare | Compass Exchange | $352.11 | ↓ -45% |
| Aetna | Neighborhood Network | $374.52 | ↓ -41% |
| Aetna | EBR FI | $405.46 | ↓ -37% |
| Aetna | Home Depot Employer Group | $407.59 | ↓ -36% |
| Cigna | NBR ASO/FI | $416.13 | ↓ -35% |
| United Healthcare | All Business | $416.13 | ↓ -35% |
| Aetna | NBR ASO/FI | $416.13 | ↓ -35% |
| Cigna | New Business ASO | $416.13 | ↓ -35% |
| Cigna | Commercial | $426.80 | ↓ -33% |
| Cigna | EBR | $426.80 | ↓ -33% |
| Aetna | EBR ASO | $426.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $451.56 | ↓ -29% |
| InterGroup | PPO | $533.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $586.85 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $586.85 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $662.01 | ↑ +3% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $674.49 | ↑ +5% |
| United Healthcare | Unison Advantage Non Special Needs | $693.24 | ↑ +8% |
| Aetna of PA | Medicare | $693.24 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $694.74 | ↑ +9% |
| United Healthcare | Medicare | $706.45 | ↑ +10% |
| Highmark Wholecare (prev Gateway) | Medicare | $712.98 | ↑ +11% |
| Cigna | Medicare | $713.05 | ↑ +11% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $713.05 | ↑ +11% |
| AmeriHealth Caritas | Medicare | $713.05 | ↑ +11% |
| Aetna | Medicare | $726.25 | ↑ +13% |
| United Healthcare | Unison Advantage Special Needs | $726.25 | ↑ +13% |
| Coventry/First Health | Commercial | $746.90 | ↑ +17% |
| Private Health Care Systems | PPO | $853.60 | ↑ +33% |
| UPMC Health Plan | Commercial | $874.54 | ↑ +37% |
| UPMC Health Plan | CHIP | $1,530.87 | ↑ +139% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Njx aa&/strd nrv nrvtg si jt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,537.40 | $260.85 – $3,594.65 |
| UPMC Cole | Coudersport | $317.40 | $88.25 – $423.20 |
| UPMC Community Osteopathic | Harrisburg | $2,537.40 | $260.85 – $3,594.65 |
| UPMC Northwest | Seneca | $727.20 | $249.25 – $713.05 |
| UPMC Hanover | Hanover | $2,537.40 | $260.85 – $1,530.87 |
| UPMC Horizon-Greenville | Greenville | $536.40 | $224.49 – $713.05 |
| UPMC Lititz | Lititz | $2,537.40 | $260.85 – $1,530.87 |
| UPMC Memorial | York | $2,537.40 | $94.05 – $1,530.87 |