Nr lnr acclrtr tx max 5 sessions at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$15,173.40
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.
$25,289.00
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.
$1,100.00 with UPMC Health Plan vs $20,231.20 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $1,100.00 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $1,150.00 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $1,389.90 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,483.00 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,508.00 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,561.10 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $1,678.57 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $1,704.20 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,710.21 | ↓ -89% |
| Aetna of PA | Medicare | $1,757.75 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $1,757.75 | ↓ -88% |
| United Healthcare | Medicare | $1,791.23 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,807.81 | ↓ -88% |
| Cigna | Medicare | $1,807.97 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $1,807.97 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,807.97 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $1,841.45 | ↓ -88% |
| Aetna | Medicare | $1,841.45 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $2,350.00 | ↓ -85% |
| UPMC Health Plan | Commercial | $2,522.48 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,763.33 | ↓ -82% |
| UPMC Health Plan | CHIP | $5,380.26 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6,152.67 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,997.99 | ↓ -47% |
| Highmark BCBS of PA | Managed Care | $8,239.93 | ↓ -46% |
| United Healthcare | Compass Exchange | $8,345.37 | ↓ -45% |
| Aetna | Neighborhood Network | $8,876.44 | ↓ -41% |
| Aetna | EBR FI | $9,609.82 | ↓ -37% |
| Aetna | Home Depot Employer Group | $9,660.40 | ↓ -36% |
| Cigna | NBR ASO/FI | $9,862.71 | ↓ -35% |
| Aetna | NBR ASO/FI | $9,862.71 | ↓ -35% |
| Cigna | New Business ASO | $9,862.71 | ↓ -35% |
| United Healthcare | All Business | $9,862.71 | ↓ -35% |
| Cigna | EBR | $10,115.60 | ↓ -33% |
| Cigna | Commercial | $10,115.60 | ↓ -33% |
| Aetna | EBR ASO | $10,115.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,711.55 | ↓ -29% |
| InterGroup | PPO | $12,644.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $16,479.87 | ↑ +9% |
| Coventry/First Health | Commercial | $17,702.30 | ↑ +17% |
| Private Health Care Systems | PPO | $20,231.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nr lnr acclrtr tx max 5 sessions at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12,780.60 | $1,000.00 – $17,040.80 |
| UPMC Carlisle | Carlisle | $9,337.20 | $1,270.00 – $13,227.70 |
| UPMC Community Osteopathic | Harrisburg | $9,337.20 | $1,270.00 – $13,227.70 |
| UPMC Horizon-Greenville | Greenville | $11,922.60 | $1,100.00 – $3,141.35 |
| UPMC Lititz | Lititz | $9,337.20 | $1,270.00 – $2,698.37 |
| UPMC Magee | Pittsburgh | $12,104.40 | $1,100.00 – $2,763.33 |
| UPMC Memorial | York | $9,337.20 | $1,270.00 – $9,058.44 |
| UPMC Passavant-McCandless | Pittsburgh | $14,978.40 | $1,100.00 – $2,763.33 |