Pentamidine non-comp unit at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,608.80
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.
$2,011.00
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.
$44.03 with UPMC Health Plan vs $1,608.80 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 | $44.03 | ↓ -97% |
| UPMC Health Plan | CHIP | $60.59 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $69.73 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $69.73 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $69.73 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $69.73 | ↓ -96% |
| United Healthcare | All Business | $79.39 | ↓ -95% |
| United Healthcare | Compass Exchange | $79.39 | ↓ -95% |
| UPMC Health Plan | Commercial | $85.77 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $176.03 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $240.52 | ↓ -85% |
| Aetna | Medicare | $502.75 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $506.90 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $509.50 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $678.85 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $682.36 | ↓ -58% |
| Aetna | Neighborhood Network | $705.86 | ↓ -56% |
| Aetna | EBR FI | $764.18 | ↓ -53% |
| Aetna | Home Depot Employer Group | $768.20 | ↓ -52% |
| Aetna | NBR ASO/FI | $784.29 | ↓ -51% |
| Cigna | NBR ASO/FI | $784.29 | ↓ -51% |
| Cigna | New Business ASO | $784.29 | ↓ -51% |
| Cigna | Commercial | $804.40 | ↓ -50% |
| Cigna | EBR | $804.40 | ↓ -50% |
| Aetna | EBR ASO | $804.40 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,005.50 | ↓ -38% |
| InterGroup | PPO | $1,005.50 | ↓ -38% |
| Highmark BCBS of PA | UPMC Emergent | $1,357.69 | ↓ -16% |
| Coventry/First Health | Commercial | $1,407.70 | ↓ -13% |
| Private Health Care Systems | PPO | $1,608.80 | ↑ +0% |
Visitor-reported prices
Comments
Pentamidine non-comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $498.40 | $44.03 – $498.40 |
| UPMC Carlisle | Carlisle | $99.60 | $12.33 – $76.50 |
| UPMC Cole | Coudersport | $209.40 | $60.59 – $279.20 |
| UPMC Community Osteopathic | Harrisburg | $99.60 | $18.00 – $290.34 |
| UPMC Hamot | Erie | $1,260.80 | $44.03 – $142.16 |
| UPMC Hanover | Hanover | $99.60 | $69.73 – $76.70 |
| UPMC Jameson | New Castle | $267.20 | $44.03 – $177.45 |
| UPMC Lititz | Lititz | $99.60 | $69.73 – $76.70 |