Pfc sigma fem post aug sz3 8mm at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$31,394.40
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.
$52,324.00
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.
$64.03 with Health Partners Plans (Jefferson Health Plan) vs $6,216.21 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $64.03 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $74.14 | ↓ -100% |
| Aetna | Medicare | $79.50 | ↓ -100% |
| United Healthcare | Compass Exchange | $104.94 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $111.21 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $111.21 | ↓ -100% |
| Aetna | Neighborhood Network | $111.62 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $114.01 | ↓ -100% |
| Aetna | EBR FI | $120.84 | ↓ -100% |
| Aetna | Home Depot Employer Group | $121.48 | ↓ -100% |
| Cigna | NBR ASO/FI | $124.02 | ↓ -100% |
| United Healthcare | All Business | $124.02 | ↓ -100% |
| Aetna | NBR ASO/FI | $124.02 | ↓ -100% |
| Cigna | New Business ASO | $124.02 | ↓ -100% |
| Aetna | EBR ASO | $127.20 | ↓ -100% |
| Cigna | EBR | $127.20 | ↓ -100% |
| Cigna | Commercial | $127.20 | ↓ -100% |
| InterGroup | PPO | $159.00 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $159.00 | ↓ -99% |
| Coventry/First Health | Commercial | $222.60 | ↓ -99% |
| Private Health Care Systems | PPO | $254.40 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $805.98 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,320.86 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,332.75 | ↓ -93% |
| Highmark BCBS of PA | Managed Care | $3,108.11 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,124.21 | ↓ -90% |
| UPMC Health Plan | CHIP | $4,112.42 | ↓ -87% |
| UPMC Health Plan | Commercial | $4,990.42 | ↓ -84% |
| Highmark BCBS of PA | UPMC Emergent | $6,216.21 | ↓ -80% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Pfc sigma fem post aug sz3 8mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $19,252.20 | $19.00 – $4,112.42 |
| UPMC Bedford | Everett | $4,512.60 | $457.90 – $4,112.42 |
| UPMC Cole | Coudersport | $12,600.00 | $175.18 – $737.60 |
| UPMC Hamot | Erie | $34,521.00 | $798.37 – $798.37 |
| UPMC Northwest | Seneca | $26,256.60 | $2,072.09 – $4,976.39 |
| UPMC Horizon-Greenville | Greenville | $23,824.20 | $2,034.72 – $4,112.42 |
| UPMC Jameson | New Castle | $61,618.20 | $812.46 – $4,112.42 |
| UPMC Kane | Kane | $17,997.00 | $3,028.28 – $3,028.28 |