Pericardiocentesis wwo imaging at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,677.20
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.
?
What you pay up front if you don't use insurance.
$4,462.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$136.98 with Highmark BCBS of PA vs $3,569.60 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $136.98 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $213.32 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $223.02 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $269.54 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $287.60 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $292.31 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $292.45 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $302.74 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $305.00 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $330.50 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $396.48 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $408.47 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Indemnity | $530.99 | ↓ -80% |
| Highmark BCBS of PA | UPMC Emergent | $816.94 | ↓ -69% |
| United Healthcare | Compass Exchange | $1,472.46 | ↓ -45% |
| UPMC Health Plan | Managed Medicare | $1,485.02 | ↓ -45% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,513.01 | ↓ -43% |
| United Healthcare | Unison Advantage Non Special Needs | $1,555.07 | ↓ -42% |
| Aetna of PA | Medicare | $1,555.07 | ↓ -42% |
| UPMC Health Plan | CHIP | $1,561.70 | ↓ -42% |
| Aetna | Neighborhood Network | $1,566.16 | ↓ -42% |
| United Healthcare | Medicare | $1,584.69 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.35 | ↓ -40% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↓ -40% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,599.50 | ↓ -40% |
| Cigna | Medicare | $1,599.50 | ↓ -40% |
| United Healthcare | Unison Advantage Special Needs | $1,629.12 | ↓ -39% |
| Aetna | Medicare | $1,629.12 | ↓ -39% |
| Aetna | EBR FI | $1,695.56 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,704.48 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,740.18 | ↓ -35% |
| United Healthcare | All Business | $1,740.18 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,740.18 | ↓ -35% |
| Cigna | New Business ASO | $1,740.18 | ↓ -35% |
| Cigna | Commercial | $1,784.80 | ↓ -33% |
| Aetna | EBR ASO | $1,784.80 | ↓ -33% |
| Cigna | EBR | $1,784.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,188.61 | ↓ -18% |
| InterGroup | PPO | $2,231.00 | ↓ -17% |
| Coventry/First Health | Commercial | $3,123.40 | ↑ +17% |
| Private Health Care Systems | PPO | $3,569.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pericardiocentesis wwo imaging at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,823.60 | $135.69 – $3,764.80 |
| UPMC Carlisle | Carlisle | $2,473.20 | $246.29 – $3,503.70 |
| UPMC Community Osteopathic | Harrisburg | $2,473.20 | $246.29 – $3,503.70 |
| UPMC Hamot | Erie | $2,653.80 | $135.69 – $2,154.03 |
| UPMC Northwest | Seneca | $3,431.40 | $213.32 – $1,555.07 |
| UPMC Hanover | Hanover | $2,473.20 | $246.29 – $2,374.40 |
| UPMC Jameson | New Castle | $1,366.20 | $138.09 – $1,999.38 |
| UPMC Lititz | Lititz | $2,473.20 | $246.29 – $2,387.23 |