Pt prgrm for implt neurostim at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,143.80
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.
$3,573.00
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.
$678.87 with Health Partners Plans (Jefferson Health Plan) vs $12,521.29 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $678.87 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $786.06 | ↓ -63% |
| Aetna | Medicare | $893.25 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $1,179.09 | ↓ -45% |
| United Healthcare | Compass Exchange | $1,179.09 | ↓ -45% |
| Aetna | Neighborhood Network | $1,254.12 | ↓ -42% |
| Aetna | EBR FI | $1,357.74 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,364.89 | ↓ -36% |
| United Healthcare | All Business | $1,393.47 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,393.47 | ↓ -35% |
| Cigna | New Business ASO | $1,393.47 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,393.47 | ↓ -35% |
| Cigna | Commercial | $1,429.20 | ↓ -33% |
| Aetna | EBR ASO | $1,429.20 | ↓ -33% |
| Cigna | EBR | $1,429.20 | ↓ -33% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,623.47 | ↓ -24% |
| InterGroup | PPO | $1,786.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,786.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $1,965.15 | ↓ -8% |
| UPMC Work Partners | Workers Comp | $2,027.87 | ↓ -5% |
| Coventry/First Health | Commercial | $2,501.10 | ↑ +17% |
| Private Health Care Systems | PPO | $2,858.40 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,674.89 | ↑ +118% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,698.86 | ↑ +119% |
| UPMC Health Plan | CHIP | $5,184.14 | ↑ +142% |
| Highmark BCBS of PA | Managed Care | $6,260.64 | ↑ +192% |
| UPMC Health Plan | Commercial | $6,290.96 | ↑ +193% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,293.09 | ↑ +194% |
| Highmark BCBS of PA | UPMC Emergent | $12,521.29 | ↑ +484% |
Visitor-reported prices
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Pt prgrm for implt neurostim at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,188.20 | $692.93 – $5,184.14 |
| UPMC Horizon-Greenville | Greenville | $2,364.60 | $2,027.87 – $5,184.14 |
| UPMC McKeesport | Mckeesport | $2,656.80 | $698.41 – $5,184.14 |
| UPMC Mercy | Pittsburgh | $2,143.80 | $1,608.16 – $4,093.62 |
| UPMC Muncy | Muncy | $2,533.80 | $2,027.87 – $2,169.35 |
| UPMC Passavant-McCandless | Pittsburgh | $3,354.00 | $1,623.47 – $7,522.84 |
| UPMC Presbyterian | Pittsburgh | $1,780.80 | $1,623.47 – $8,381.84 |