Pulse ox continuous overnight monitoring at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$165.00
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.
$275.00
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.
$31.90 with Highmark BCBS of PA vs $223.20 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $31.90 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $83.33 | ↓ -49% |
| UPMC Health Plan | CHIP | $88.76 | ↓ -46% |
| United Healthcare | Compass Exchange | $90.75 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $92.33 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $94.09 | ↓ -43% |
| Aetna | Neighborhood Network | $96.53 | ↓ -41% |
| Aetna | EBR FI | $104.50 | ↓ -37% |
| Aetna | Home Depot Employer Group | $105.05 | ↓ -36% |
| Cigna | NBR ASO/FI | $107.25 | ↓ -35% |
| United Healthcare | All Business | $107.25 | ↓ -35% |
| Aetna | NBR ASO/FI | $107.25 | ↓ -35% |
| Cigna | New Business ASO | $107.25 | ↓ -35% |
| UPMC Health Plan | Commercial | $107.71 | ↓ -35% |
| Cigna | Commercial | $110.00 | ↓ -33% |
| Aetna | EBR ASO | $110.00 | ↓ -33% |
| Cigna | EBR | $110.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $111.60 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $123.66 | ↓ -25% |
| InterGroup | PPO | $137.50 | ↓ -17% |
| UPMC Health Plan | Managed Medicare | $149.57 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $151.25 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $151.25 | ↓ -8% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $152.39 | ↓ -8% |
| United Healthcare | Unison Advantage Non Special Needs | $156.63 | ↓ -5% |
| Aetna of PA | Medicare | $156.63 | ↓ -5% |
| United Healthcare | Medicare | $159.61 | ↓ -3% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.09 | ↓ -2% |
| AmeriHealth Caritas | Medicare | $161.10 | ↓ -2% |
| Cigna | Medicare | $161.10 | ↓ -2% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↓ -2% |
| United Healthcare | Unison Advantage Special Needs | $164.09 | ↓ -1% |
| Aetna | Medicare | $164.09 | ↓ -1% |
| Coventry/First Health | Commercial | $192.50 | ↑ +17% |
| Private Health Care Systems | PPO | $220.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $223.20 | ↑ +35% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pulse ox continuous overnight monitoring at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,071.00 | $31.60 – $1,428.00 |
| UPMC Bedford | Everett | $149.40 | $53.82 – $224.10 |
| UPMC Carlisle | Carlisle | $350.40 | $80.01 – $496.40 |
| UPMC Cole | Coudersport | $79.80 | $27.56 – $106.40 |
| UPMC Community Osteopathic | Harrisburg | $350.40 | $88.76 – $496.40 |
| UPMC Hamot | Erie | $143.40 | $31.60 – $205.40 |
| UPMC Northwest | Seneca | $360.60 | $82.01 – $161.10 |
| UPMC Hanover | Hanover | $350.40 | $88.76 – $239.15 |