Positioner proc acufex leg acs at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$93.60
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.
$156.00
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.
$17.50 with Aetna vs $321.73 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 |
|---|---|---|---|
| Aetna | Medicare | $17.50 | ↓ -81% |
| United Healthcare | Compass Exchange | $23.10 | ↓ -75% |
| Aetna | Neighborhood Network | $24.57 | ↓ -74% |
| Aetna | EBR FI | $26.60 | ↓ -72% |
| Aetna | Home Depot Employer Group | $26.74 | ↓ -71% |
| United Healthcare | All Business | $27.30 | ↓ -71% |
| Aetna | NBR ASO/FI | $27.30 | ↓ -71% |
| Cigna | NBR ASO/FI | $27.30 | ↓ -71% |
| Cigna | New Business ASO | $27.30 | ↓ -71% |
| Cigna | Commercial | $28.00 | ↓ -70% |
| Aetna | EBR ASO | $28.00 | ↓ -70% |
| Cigna | EBR | $28.00 | ↓ -70% |
| InterGroup | PPO | $35.00 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $35.00 | ↓ -63% |
| PA Health & Wellness | PA Medicaid HMO | $38.50 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $38.50 | ↓ -59% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $41.71 | ↓ -55% |
| Coventry/First Health | Commercial | $49.00 | ↓ -48% |
| Private Health Care Systems | PPO | $56.00 | ↓ -40% |
| UPMC Health Plan | CHIP | $115.02 | ↑ +23% |
| Highmark BCBS of PA | Managed Care - Social Mission | $120.12 | ↑ +28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $120.74 | ↑ +29% |
| UPMC Health Plan | Commercial | $139.58 | ↑ +49% |
| Highmark BCBS of PA | Managed Care | $160.87 | ↑ +72% |
| Highmark BCBS of PA | Commercial - Indemnity | $161.70 | ↑ +73% |
| Highmark BCBS of PA | UPMC Emergent | $321.73 | ↑ +244% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Positioner proc acufex leg acs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $65.40 | $24.50 – $115.02 |
| UPMC Hamot | Erie | $156.60 | $41.32 – $41.32 |
| UPMC Northwest | Seneca | $42.00 | $107.24 – $139.19 |
| UPMC Horizon-Greenville | Greenville | $42.00 | $105.31 – $115.02 |
| UPMC Jameson | New Castle | $42.00 | $40.07 – $115.02 |
| UPMC Magee | Pittsburgh | $76.20 | $41.71 – $115.02 |
| UPMC Mercy | Pittsburgh | $203.40 | $41.32 – $90.83 |
| UPMC Muncy | Muncy | $42.60 | $10.65 – $63.90 |