Prq cardiac angio addl art at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$15,811.80
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.
$26,353.00
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.
$123.06 with Highmark BCBS of PA vs $21,082.40 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 | $123.06 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $321.44 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $356.18 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $430.51 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $477.02 | ↓ -97% |
| Highmark BCBS of PA | UPMC Emergent | $861.01 | ↓ -95% |
| Aetna | Medicare | $6,588.25 | ↓ -58% |
| United Healthcare | Compass Exchange | $8,696.49 | ↓ -45% |
| UPMC Health Plan | CHIP | $9,223.55 | ↓ -42% |
| Aetna | Neighborhood Network | $9,249.90 | ↓ -42% |
| Aetna | EBR FI | $10,014.14 | ↓ -37% |
| Aetna | Home Depot Employer Group | $10,066.85 | ↓ -36% |
| Aetna | NBR ASO/FI | $10,277.67 | ↓ -35% |
| United Healthcare | All Business | $10,277.67 | ↓ -35% |
| Cigna | NBR ASO/FI | $10,277.67 | ↓ -35% |
| Cigna | New Business ASO | $10,277.67 | ↓ -35% |
| Cigna | EBR | $10,541.20 | ↓ -33% |
| Aetna | EBR ASO | $10,541.20 | ↓ -33% |
| Cigna | Commercial | $10,541.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $12,926.15 | ↓ -18% |
| InterGroup | PPO | $13,176.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,176.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $14,494.15 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $14,494.15 | ↓ -8% |
| Coventry/First Health | Commercial | $18,447.10 | ↑ +17% |
| Private Health Care Systems | PPO | $21,082.40 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Prq cardiac angio addl art at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,583.00 | $121.90 – $7,444.00 |
| UPMC Carlisle | Carlisle | $5,071.20 | $151.72 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $5,071.20 | $151.72 – $7,184.20 |
| UPMC Hamot | Erie | $17,658.00 | $121.90 – $121.90 |
| UPMC Hanover | Hanover | $5,071.20 | $151.72 – $151.72 |
| UPMC Jameson | New Castle | $4,217.40 | $124.05 – $133.19 |
| UPMC Lititz | Lititz | $5,071.20 | $151.72 – $151.72 |
| UPMC McKeesport | Mckeesport | $15,562.20 | $123.06 – $123.06 |