Place slctv cath carotid/inom art excrn uni at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$17,268.00
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.
$28,780.00
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.
$256.75 with UPMC Health Plan vs $23,024.00 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 | $256.75 | ↓ -99% |
| United Healthcare Community Plan for Families | Unison Kids | $268.42 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $324.42 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $346.15 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $351.98 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $364.38 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $397.78 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,154.89 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $1,914.91 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,571.41 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,342.63 | ↓ -81% |
| Highmark BCBS of PA | Managed Care | $3,443.75 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,476.72 | ↓ -74% |
| UPMC Health Plan | Commercial | $4,572.15 | ↓ -74% |
| Highmark BCBS of PA | UPMC Emergent | $6,887.50 | ↓ -60% |
| Aetna | Medicare | $7,195.00 | ↓ -58% |
| UPMC Health Plan | CHIP | $8,003.52 | ↓ -54% |
| United Healthcare | Compass Exchange | $9,497.40 | ↓ -45% |
| Aetna | Neighborhood Network | $10,101.78 | ↓ -42% |
| Aetna | EBR FI | $10,936.40 | ↓ -37% |
| Aetna | Home Depot Employer Group | $10,993.96 | ↓ -36% |
| Cigna | NBR ASO/FI | $11,224.20 | ↓ -35% |
| United Healthcare | All Business | $11,224.20 | ↓ -35% |
| Aetna | NBR ASO/FI | $11,224.20 | ↓ -35% |
| Cigna | New Business ASO | $11,224.20 | ↓ -35% |
| Aetna | EBR ASO | $11,512.00 | ↓ -33% |
| Cigna | EBR | $11,512.00 | ↓ -33% |
| Cigna | Commercial | $11,512.00 | ↓ -33% |
| InterGroup | PPO | $14,390.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $14,390.00 | ↓ -17% |
| Coventry/First Health | Commercial | $20,146.00 | ↑ +17% |
| Private Health Care Systems | PPO | $23,024.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Place slctv cath carotid/inom art excrn uni at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,202.80 | $1,144.00 – $8,270.40 |
| UPMC Carlisle | Carlisle | $6,300.60 | $1,016.56 – $8,925.85 |
| UPMC Community Osteopathic | Harrisburg | $6,360.60 | $1,016.56 – $8,925.85 |
| UPMC Hamot | Erie | $12,945.60 | $256.75 – $4,364.40 |
| UPMC Hanover | Hanover | $6,300.60 | $1,016.56 – $8,003.52 |
| UPMC Jameson | New Castle | $4,618.80 | $892.40 – $4,051.03 |
| UPMC Lititz | Lititz | $6,300.60 | $1,016.56 – $8,003.52 |
| UPMC Magee | Pittsburgh | $11,832.00 | $1,154.89 – $3,300.84 |