Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,322.40
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.
$2,204.00
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.
$43.26 with UPMC Health Plan vs $1,763.20 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 | $43.26 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $45.23 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $54.66 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $58.33 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $59.31 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.40 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $67.03 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $119.16 | ↓ -91% |
| UPMC Health Plan | Commercial | $191.47 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $224.80 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $265.31 | ↓ -80% |
| UPMC Health Plan | CHIP | $335.16 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $344.88 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $355.31 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $461.89 | ↓ -65% |
| Aetna | Medicare | $551.00 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $710.63 | ↓ -46% |
| United Healthcare | Compass Exchange | $727.32 | ↓ -45% |
| Aetna | Neighborhood Network | $773.60 | ↓ -42% |
| Aetna | EBR FI | $837.52 | ↓ -37% |
| Aetna | Home Depot Employer Group | $841.93 | ↓ -36% |
| Cigna | NBR ASO/FI | $859.56 | ↓ -35% |
| United Healthcare | All Business | $859.56 | ↓ -35% |
| Aetna | NBR ASO/FI | $859.56 | ↓ -35% |
| Cigna | New Business ASO | $859.56 | ↓ -35% |
| Cigna | EBR | $881.60 | ↓ -33% |
| Cigna | Commercial | $881.60 | ↓ -33% |
| Aetna | EBR ASO | $881.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,102.00 | ↓ -17% |
| InterGroup | PPO | $1,102.00 | ↓ -17% |
| Coventry/First Health | Commercial | $1,542.80 | ↑ +17% |
| Private Health Care Systems | PPO | $1,763.20 | ↑ +33% |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $670.80 | $39.33 – $894.40 |
| UPMC Carlisle | Carlisle | $1,930.80 | $49.95 – $9,539.00 |
| UPMC Cole | Coudersport | $120.60 | $41.30 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $1,930.80 | $51.52 – $2,735.30 |
| UPMC Hamot | Erie | $1,438.20 | $43.26 – $224.80 |
| UPMC Hanover | Hanover | $1,930.80 | $49.95 – $235.26 |
| UPMC Jameson | New Castle | $1,180.80 | $43.18 – $224.80 |
| UPMC Kane | Kane | $433.20 | $43.26 – $713.52 |