Plcmnt ureteral stent pq w/img new w/cath at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$13,146.00
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.
$21,910.00
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.
$962.01 with Highmark BCBS of PA vs $17,528.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $962.01 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $1,825.14 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,512.80 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,784.36 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $3,297.06 | ↓ -75% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,359.20 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $3,365.41 | ↓ -74% |
| Aetna of PA | Medicare | $3,452.59 | ↓ -74% |
| United Healthcare | Unison Advantage Non Special Needs | $3,452.59 | ↓ -74% |
| United Healthcare | Medicare | $3,518.35 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,550.91 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,551.23 | ↓ -73% |
| Cigna | Medicare | $3,551.23 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $3,551.23 | ↓ -73% |
| Aetna | Medicare | $3,617.00 | ↓ -72% |
| United Healthcare | Unison Advantage Special Needs | $3,617.00 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,729.04 | ↓ -72% |
| Highmark BCBS of PA | UPMC Emergent | $6,730.82 | ↓ -49% |
| United Healthcare | Compass Exchange | $7,230.30 | ↓ -45% |
| UPMC Health Plan | CHIP | $7,668.50 | ↓ -42% |
| Aetna | Neighborhood Network | $7,690.41 | ↓ -42% |
| Aetna | EBR FI | $8,325.80 | ↓ -37% |
| Aetna | Home Depot Employer Group | $8,369.62 | ↓ -36% |
| Cigna | NBR ASO/FI | $8,544.90 | ↓ -35% |
| United Healthcare | All Business | $8,544.90 | ↓ -35% |
| Aetna | NBR ASO/FI | $8,544.90 | ↓ -35% |
| Cigna | New Business ASO | $8,544.90 | ↓ -35% |
| Aetna | EBR ASO | $8,764.00 | ↓ -33% |
| Cigna | Commercial | $8,764.00 | ↓ -33% |
| Cigna | EBR | $8,764.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $10,746.85 | ↓ -18% |
| InterGroup | PPO | $10,955.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $12,050.50 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $12,050.50 | ↓ -8% |
| Coventry/First Health | Commercial | $15,337.00 | ↑ +17% |
| Private Health Care Systems | PPO | $17,528.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Plcmnt ureteral stent pq w/img new w/cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $7,729.80 | $1,016.56 – $10,950.55 |
| UPMC Community Osteopathic | Harrisburg | $7,729.80 | $1,016.56 – $10,950.55 |
| UPMC Hamot | Erie | $5,104.20 | $952.93 – $4,782.42 |
| UPMC Hanover | Hanover | $7,729.80 | $1,016.56 – $5,271.68 |
| UPMC Lititz | Lititz | $7,729.80 | $1,016.56 – $5,300.16 |
| UPMC Magee | Pittsburgh | $12,594.00 | $962.01 – $3,617.00 |
| UPMC McKeesport | Mckeesport | $13,761.00 | $962.01 – $3,617.00 |
| UPMC Memorial | York | $7,729.80 | $776.68 – $5,291.55 |