Pq dr cath chg w cont s&i at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$777.00
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.
$1,295.00
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.
$19.25 with UPMC Health Plan vs $1,036.00 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 | $19.25 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison Kids | $20.12 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $24.32 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.95 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $26.39 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.32 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $29.82 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $129.61 | ↓ -83% |
| UPMC Health Plan | Commercial | $185.31 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $278.80 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $288.58 | ↓ -63% |
| Aetna | Medicare | $323.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $375.13 | ↓ -52% |
| Highmark BCBS of PA | Managed Care | $386.48 | ↓ -50% |
| UPMC Health Plan | CHIP | $395.25 | ↓ -49% |
| United Healthcare | Compass Exchange | $427.35 | ↓ -45% |
| Aetna | Neighborhood Network | $454.55 | ↓ -41% |
| Aetna | EBR FI | $492.10 | ↓ -37% |
| Aetna | Home Depot Employer Group | $494.69 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Indemnity | $502.41 | ↓ -35% |
| Cigna | NBR ASO/FI | $505.05 | ↓ -35% |
| United Healthcare | All Business | $505.05 | ↓ -35% |
| Aetna | NBR ASO/FI | $505.05 | ↓ -35% |
| Cigna | New Business ASO | $505.05 | ↓ -35% |
| Aetna | EBR ASO | $518.00 | ↓ -33% |
| Cigna | EBR | $518.00 | ↓ -33% |
| Cigna | Commercial | $518.00 | ↓ -33% |
| InterGroup | PPO | $647.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $647.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $772.96 | ↓ -1% |
| Coventry/First Health | Commercial | $906.50 | ↑ +17% |
| Private Health Care Systems | PPO | $1,036.00 | ↑ +33% |
Visitor-reported prices
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Pq dr cath chg w cont s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $942.60 | $10.00 – $1,256.80 |
| UPMC Carlisle | Carlisle | $2,119.80 | $13.10 – $3,003.05 |
| UPMC Community Osteopathic | Harrisburg | $2,119.80 | $13.10 – $3,003.05 |
| UPMC Hamot | Erie | $706.80 | $19.25 – $278.80 |
| UPMC Northwest | Seneca | $591.00 | $19.25 – $333.21 |
| UPMC Hanover | Hanover | $2,119.80 | $13.10 – $278.93 |
| UPMC Jameson | New Castle | $240.00 | $11.50 – $266.53 |
| UPMC Lititz | Lititz | $2,119.80 | $13.10 – $271.71 |