Place cath xtrnl carotid at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$9,543.60
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.
$15,906.00
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.
$95.55 with UPMC Health Plan vs $12,724.80 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 | $95.55 | ↓ -99% |
| United Healthcare Community Plan for Families | Unison Kids | $99.89 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $120.73 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $128.81 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $130.98 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $135.60 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $148.03 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $205.21 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $340.24 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $456.92 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $593.96 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $611.92 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity | $795.47 | ↓ -92% |
| Highmark BCBS of PA | UPMC Emergent | $1,223.85 | ↓ -87% |
| Aetna | Medicare | $3,976.50 | ↓ -58% |
| UPMC Health Plan | Commercial | $5,104.32 | ↓ -47% |
| United Healthcare | Compass Exchange | $5,248.98 | ↓ -45% |
| Aetna | Neighborhood Network | $5,583.01 | ↓ -41% |
| Aetna | EBR FI | $6,044.28 | ↓ -37% |
| Aetna | Home Depot Employer Group | $6,076.09 | ↓ -36% |
| Cigna | NBR ASO/FI | $6,203.34 | ↓ -35% |
| Cigna | New Business ASO | $6,203.34 | ↓ -35% |
| Aetna | NBR ASO/FI | $6,203.34 | ↓ -35% |
| United Healthcare | All Business | $6,203.34 | ↓ -35% |
| Cigna | EBR | $6,362.40 | ↓ -33% |
| Aetna | EBR ASO | $6,362.40 | ↓ -33% |
| Cigna | Commercial | $6,362.40 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,953.00 | ↓ -17% |
| InterGroup | PPO | $7,953.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $8,935.08 | ↓ -6% |
| Coventry/First Health | Commercial | $11,134.20 | ↑ +17% |
| Private Health Care Systems | PPO | $12,724.80 | ↑ +33% |
Visitor-reported prices
Comments
Place cath xtrnl carotid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,011.40 | $86.86 – $8,015.20 |
| UPMC Carlisle | Carlisle | $4,005.60 | $110.31 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,043.40 | $110.31 – $8,935.08 |
| UPMC Hamot | Erie | $9,103.20 | $95.55 – $340.24 |
| UPMC Hanover | Hanover | $4,005.60 | $110.31 – $356.07 |
| UPMC Lititz | Lititz | $4,005.60 | $110.31 – $356.07 |
| UPMC Memorial | York | $4,005.60 | $110.31 – $356.07 |
| UPMC Mercy | Pittsburgh | $10,440.00 | $95.55 – $385.02 |