Pq vrtbrplst 1 bdy inj lmb-scr w/img ini at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$5,829.60
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.
$9,716.00
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.
$1,139.88 with Highmark BCBS of PA vs $7,772.80 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 | $1,139.88 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $2,249.73 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,537.99 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $3,101.70 | ↓ -47% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,160.17 | ↓ -46% |
| United Healthcare | Compass Exchange | $3,206.28 | ↓ -45% |
| United Healthcare | Unison Advantage Non Special Needs | $3,248.02 | ↓ -44% |
| Aetna of PA | Medicare | $3,248.02 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,299.18 | ↓ -43% |
| United Healthcare | Medicare | $3,309.88 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,340.51 | ↓ -43% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,340.82 | ↓ -43% |
| Cigna | Medicare | $3,340.82 | ↓ -43% |
| AmeriHealth Caritas | Medicare | $3,340.82 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $3,398.99 | ↓ -42% |
| UPMC Health Plan | CHIP | $3,400.60 | ↓ -42% |
| Aetna | Medicare | $3,402.68 | ↓ -42% |
| United Healthcare | Unison Advantage Special Needs | $3,402.68 | ↓ -42% |
| Aetna | Neighborhood Network | $3,410.32 | ↓ -41% |
| Aetna | EBR FI | $3,692.08 | ↓ -37% |
| Aetna | Home Depot Employer Group | $3,711.51 | ↓ -36% |
| Cigna | NBR ASO/FI | $3,789.24 | ↓ -35% |
| United Healthcare | All Business | $3,789.24 | ↓ -35% |
| Aetna | NBR ASO/FI | $3,789.24 | ↓ -35% |
| Cigna | New Business ASO | $3,789.24 | ↓ -35% |
| Cigna | EBR | $3,886.40 | ↓ -33% |
| Aetna | EBR ASO | $3,886.40 | ↓ -33% |
| Cigna | Commercial | $3,886.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,418.53 | ↓ -24% |
| UPMC Health Plan | Commercial | $4,765.70 | ↓ -18% |
| InterGroup | PPO | $4,858.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $5,343.80 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $5,343.80 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $6,797.97 | ↑ +17% |
| Coventry/First Health | Commercial | $6,801.20 | ↑ +17% |
| Private Health Care Systems | PPO | $7,772.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pq vrtbrplst 1 bdy inj lmb-scr w/img ini at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $7,986.60 | $1,016.56 – $11,314.35 |
| UPMC Community Osteopathic | Harrisburg | $7,986.60 | $1,016.56 – $11,314.35 |
| UPMC Hanover | Hanover | $7,986.60 | $1,016.56 – $4,959.33 |
| UPMC Lititz | Lititz | $7,986.60 | $1,016.56 – $4,986.11 |
| UPMC Memorial | York | $7,986.60 | $920.29 – $4,978.02 |
| UPMC Passavant-McCandless | Pittsburgh | $16,794.60 | $1,139.88 – $3,402.68 |
| UPMC Presbyterian | Pittsburgh | $26,413.20 | $931.20 – $3,402.68 |
| UPMC Somerset | Somerset | $7,986.60 | $892.40 – $3,340.51 |