Pin caspar distraction 12mm at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$6,022.20
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.
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What you pay up front if you don't use insurance.
$10,037.00
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.
$1,907.03 with Health Partners Plans (Jefferson Health Plan) vs $11,241.44 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 | $1,907.03 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,208.14 | ↓ -63% |
| Aetna | Medicare | $2,509.25 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $3,312.21 | ↓ -45% |
| PA Health & Wellness | PA Medicaid HMO | $3,312.21 | ↓ -45% |
| United Healthcare | Compass Exchange | $3,312.21 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,395.52 | ↓ -44% |
| UPMC Health Plan | CHIP | $3,512.95 | ↓ -42% |
| Aetna | Neighborhood Network | $3,522.99 | ↓ -41% |
| Aetna | EBR FI | $3,814.06 | ↓ -37% |
| Aetna | Home Depot Employer Group | $3,834.13 | ↓ -36% |
| Cigna | NBR ASO/FI | $3,914.43 | ↓ -35% |
| United Healthcare | All Business | $3,914.43 | ↓ -35% |
| Aetna | NBR ASO/FI | $3,914.43 | ↓ -35% |
| Cigna | New Business ASO | $3,914.43 | ↓ -35% |
| Cigna | Commercial | $4,014.80 | ↓ -33% |
| Aetna | EBR ASO | $4,014.80 | ↓ -33% |
| Cigna | EBR | $4,014.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $4,923.15 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,018.50 | ↓ -17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5,018.50 | ↓ -17% |
| InterGroup | PPO | $5,018.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,620.72 | ↓ -7% |
| Highmark BCBS of PA | Managed Care | $5,620.72 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,721.09 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,721.09 | ↓ -5% |
| Coventry/First Health | Commercial | $7,025.90 | ↑ +17% |
| Private Health Care Systems | PPO | $8,029.60 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $11,241.44 | ↑ +87% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Pin caspar distraction 12mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,332.40 | $842.08 – $3,545.60 |
| UPMC Northwest | Seneca | $2,681.40 | $1,117.25 – $3,798.65 |
| UPMC Magee | Pittsburgh | $18,651.00 | $1,770.20 – $1,770.20 |
| UPMC Mercy | Pittsburgh | $18,651.00 | $381.60 – $1,431.00 |
| UPMC Passavant-McCandless | Pittsburgh | $29,164.20 | $872.96 – $3,372.80 |
| UPMC Presbyterian | Pittsburgh | $52,037.40 | $54.00 – $382.50 |
| UPMC Williamsport | Williamsport | $33,127.20 | $1,786.00 – $8,037.00 |
| WellSpan Chambersburg Hospital | Chambersburg | $9,504.00 | $1,900.80 – $1,900.80 |