Prcrd drg 6+yr without anomly at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,082.80
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.
$5,138.00
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.
$142.03 with Highmark BCBS of PA vs $4,110.40 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 | $142.03 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $303.07 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $316.24 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $411.09 | ↓ -87% |
| Highmark BCBS of PA | Managed Care | $423.52 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity | $550.56 | ↓ -82% |
| Highmark BCBS of PA | UPMC Emergent | $847.05 | ↓ -73% |
| Aetna | Medicare | $1,284.50 | ↓ -58% |
| United Healthcare | Compass Exchange | $1,695.54 | ↓ -45% |
| UPMC Health Plan | CHIP | $1,798.30 | ↓ -42% |
| Aetna | Neighborhood Network | $1,803.44 | ↓ -41% |
| Aetna | EBR FI | $1,952.44 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,962.72 | ↓ -36% |
| Cigna | New Business ASO | $2,003.82 | ↓ -35% |
| Cigna | NBR ASO/FI | $2,003.82 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,003.82 | ↓ -35% |
| United Healthcare | All Business | $2,003.82 | ↓ -35% |
| Cigna | Commercial | $2,055.20 | ↓ -33% |
| Cigna | EBR | $2,055.20 | ↓ -33% |
| Aetna | EBR ASO | $2,055.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,520.19 | ↓ -18% |
| InterGroup | PPO | $2,569.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,569.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $2,825.90 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $2,825.90 | ↓ -8% |
| Coventry/First Health | Commercial | $3,596.60 | ↑ +17% |
| Private Health Care Systems | PPO | $4,110.40 | ↑ +33% |
Visitor-reported prices
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Prcrd drg 6+yr without anomly at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,462.60 | $140.69 – $4,616.80 |
| UPMC Carlisle | Carlisle | $2,473.20 | $263.40 – $3,503.70 |
| UPMC Community Osteopathic | Harrisburg | $2,473.20 | $263.40 – $3,503.70 |
| UPMC Hamot | Erie | $3,152.40 | $140.69 – $603.43 |
| UPMC Northwest | Seneca | $3,943.80 | $303.07 – $365.15 |
| UPMC Hanover | Hanover | $2,473.20 | $263.40 – $317.17 |
| UPMC Horizon-Greenville | Greenville | $2,751.00 | $273.71 – $303.07 |
| UPMC Lititz | Lititz | $2,473.20 | $262.03 – $317.17 |