Pq thr inj ext pse at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,600.20
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.
$2,667.00
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.
$113.66 with UPMC Health Plan vs $2,133.60 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 | $113.66 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $118.83 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $143.62 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $153.24 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $155.82 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $161.31 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $176.09 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $335.42 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $339.67 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $591.03 | ↓ -63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $602.17 | ↓ -62% |
| United Healthcare | Unison Advantage Non Special Needs | $618.91 | ↓ -61% |
| Aetna of PA | Medicare | $618.91 | ↓ -61% |
| United Healthcare | Medicare | $630.70 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $636.54 | ↓ -60% |
| Cigna | Medicare | $636.60 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $636.60 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $636.60 | ↓ -60% |
| Aetna | Medicare | $648.38 | ↓ -59% |
| United Healthcare | Unison Advantage Special Needs | $648.38 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $746.84 | ↓ -53% |
| United Healthcare | Compass Exchange | $880.11 | ↓ -45% |
| Aetna | Neighborhood Network | $936.12 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $970.83 | ↓ -39% |
| Highmark BCBS of PA | Managed Care | $1,000.20 | ↓ -37% |
| Aetna | EBR FI | $1,013.46 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,018.79 | ↓ -36% |
| United Healthcare | All Business | $1,040.13 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,040.13 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,040.13 | ↓ -35% |
| Cigna | New Business ASO | $1,040.13 | ↓ -35% |
| UPMC Health Plan | CHIP | $1,041.43 | ↓ -35% |
| Cigna | EBR | $1,066.80 | ↓ -33% |
| Cigna | Commercial | $1,066.80 | ↓ -33% |
| Aetna | EBR ASO | $1,066.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,300.21 | ↓ -19% |
| UPMC Health Plan | Commercial | $1,308.16 | ↓ -18% |
| InterGroup | PPO | $1,333.50 | ↓ -17% |
| Coventry/First Health | Commercial | $1,866.90 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $2,000.39 | ↑ +25% |
| Private Health Care Systems | PPO | $2,133.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pq thr inj ext pse at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $754.80 | $103.33 – $1,006.40 |
| UPMC Carlisle | Carlisle | $1,125.60 | $131.23 – $1,594.60 |
| UPMC Community Osteopathic | Harrisburg | $1,125.60 | $135.36 – $1,594.60 |
| UPMC Hamot | Erie | $870.00 | $113.66 – $857.29 |
| UPMC Hanover | Hanover | $1,125.60 | $131.23 – $944.99 |
| UPMC Lititz | Lititz | $1,125.60 | $131.23 – $950.10 |
| UPMC Magee | Pittsburgh | $1,900.80 | $113.66 – $636.60 |
| UPMC Memorial | York | $1,125.60 | $131.23 – $948.56 |