Prostate biopsy, any mthd at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$308.40
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.
$514.00
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.
$127.95 with UPMC Health Plan vs $3,640.96 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $127.95 | ↓ -59% |
| United Healthcare | Compass Exchange | $169.62 | ↓ -45% |
| Aetna | Neighborhood Network | $180.41 | ↓ -42% |
| Aetna | EBR FI | $195.32 | ↓ -37% |
| Aetna | Home Depot Employer Group | $196.35 | ↓ -36% |
| Aetna | NBR ASO/FI | $200.46 | ↓ -35% |
| Cigna | New Business ASO | $200.46 | ↓ -35% |
| Cigna | NBR ASO/FI | $200.46 | ↓ -35% |
| United Healthcare | All Business | $200.46 | ↓ -35% |
| Cigna | Commercial | $205.60 | ↓ -33% |
| Cigna | EBR | $205.60 | ↓ -33% |
| Aetna | EBR ASO | $205.60 | ↓ -33% |
| InterGroup | PPO | $257.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $282.70 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $282.70 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $343.88 | ↑ +12% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $350.36 | ↑ +14% |
| Coventry/First Health | Commercial | $359.80 | ↑ +17% |
| Aetna of PA | Medicare | $360.10 | ↑ +17% |
| United Healthcare | Unison Advantage Non Special Needs | $360.10 | ↑ +17% |
| United Healthcare | Medicare | $366.96 | ↑ +19% |
| Highmark Wholecare (prev Gateway) | Medicare | $370.35 | ↑ +20% |
| Cigna | Medicare | $370.39 | ↑ +20% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.39 | ↑ +20% |
| AmeriHealth Caritas | Medicare | $370.39 | ↑ +20% |
| United Healthcare | Unison Advantage Special Needs | $377.25 | ↑ +22% |
| Aetna | Medicare | $377.25 | ↑ +22% |
| Private Health Care Systems | PPO | $411.20 | ↑ +33% |
| UPMC Health Plan | CHIP | $465.14 | ↑ +51% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $781.96 | ↑ +154% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,359.31 | ↑ +341% |
| Highmark BCBS of PA | Managed Care | $1,820.48 | ↑ +490% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,263.24 | ↑ +634% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,031.11 | ↑ +883% |
| Highmark BCBS of PA | UPMC Emergent | $3,640.96 | ↑ +1081% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $287.40 | $239.50 – $774.58 |
| UPMC Bedford | Everett | $308.40 | $123.74 – $462.60 |
| UPMC Carlisle | Carlisle | $643.20 | $146.86 – $911.20 |
| UPMC Cole | Coudersport | $1,301.40 | $53.00 – $1,735.20 |
| UPMC Community Osteopathic | Harrisburg | $643.20 | $214.40 – $911.20 |
| UPMC Hamot | Erie | $334.20 | $157.05 – $774.58 |
| UPMC Northwest | Seneca | $308.40 | $129.14 – $370.39 |
| UPMC Hanover | Hanover | $643.20 | $259.00 – $549.82 |