Ot therapeutic procedure neuromuscular reeducate each 15 minutes at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$87.60
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.
$146.00
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.
$18.43 with UPMC Health Plan vs $119.67 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $18.43 | ↓ -79% |
| United Healthcare Community Plan for Families | Unison Kids | $19.26 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $23.28 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.84 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25.26 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.73 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.15 | ↓ -70% |
| PA Health & Wellness | PA Medicaid HMO | $28.55 | ↓ -67% |
| Aetna | Medicare | $36.50 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $44.42 | ↓ -49% |
| Highmark BCBS of PA | Managed Care - Social Mission | $44.68 | ↓ -49% |
| United Healthcare | Compass Exchange | $48.18 | ↓ -45% |
| Aetna | Neighborhood Network | $51.25 | ↓ -41% |
| Aetna | EBR FI | $55.48 | ↓ -37% |
| Aetna | Home Depot Employer Group | $55.77 | ↓ -36% |
| Cigna | NBR ASO/FI | $56.94 | ↓ -35% |
| United Healthcare | All Business | $56.94 | ↓ -35% |
| Aetna | NBR ASO/FI | $56.94 | ↓ -35% |
| Cigna | New Business ASO | $56.94 | ↓ -35% |
| Cigna | Commercial | $58.40 | ↓ -33% |
| Aetna | EBR ASO | $58.40 | ↓ -33% |
| Cigna | EBR | $58.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $59.83 | ↓ -32% |
| UPMC Health Plan | CHIP | $67.70 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $73.00 | ↓ -17% |
| InterGroup | PPO | $73.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $74.46 | ↓ -15% |
| UPMC Health Plan | Commercial | $82.16 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Indemnity | $99.73 | ↑ +14% |
| Coventry/First Health | Commercial | $102.20 | ↑ +17% |
| Private Health Care Systems | PPO | $116.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $119.67 | ↑ +37% |
Visitor-reported prices
Comments
Ot therapeutic procedure neuromuscular reeducate each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $121.80 | $16.75 – $162.40 |
| UPMC Bedford | Everett | $191.40 | $17.59 – $287.10 |
| UPMC Carlisle | Carlisle | $96.00 | $13.56 – $387.00 |
| UPMC Cole | Coudersport | $79.20 | $17.59 – $105.60 |
| UPMC Community Osteopathic | Harrisburg | $96.00 | $19.80 – $84.15 |
| UPMC Hamot | Erie | $127.80 | $18.43 – $100.11 |
| UPMC Northwest | Seneca | $80.40 | $18.43 – $66.14 |
| UPMC Hanover | Hanover | $96.00 | $21.27 – $148.00 |