Pulse ox single at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$36.00
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.
?
What you pay up front if you don't use insurance.
$60.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.18 with UPMC Health Plan vs $49.76 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Managed Medicaid | $2.18 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $2.28 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $2.75 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.94 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2.99 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.09 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $3.37 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7.11 | ↓ -80% |
| Aetna | Medicare | $15.00 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $18.58 | ↓ -48% |
| United Healthcare | Compass Exchange | $19.80 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $20.49 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $20.58 | ↓ -43% |
| Aetna | Neighborhood Network | $21.06 | ↓ -42% |
| Aetna | EBR FI | $22.80 | ↓ -37% |
| Aetna | Home Depot Employer Group | $22.92 | ↓ -36% |
| Cigna | NBR ASO/FI | $23.40 | ↓ -35% |
| United Healthcare | All Business | $23.40 | ↓ -35% |
| Aetna | NBR ASO/FI | $23.40 | ↓ -35% |
| Cigna | New Business ASO | $23.40 | ↓ -35% |
| Aetna | EBR ASO | $24.00 | ↓ -33% |
| Cigna | Commercial | $24.00 | ↓ -33% |
| Cigna | EBR | $24.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $24.88 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Indemnity | $27.57 | ↓ -23% |
| UPMC Health Plan | CHIP | $29.46 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.00 | ↓ -17% |
| InterGroup | PPO | $30.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $35.74 | ↓ -1% |
| Coventry/First Health | Commercial | $42.00 | ↑ +17% |
| Private Health Care Systems | PPO | $48.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $49.76 | ↑ +38% |
Visitor-reported prices
Comments
Pulse ox single at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $59.40 | $1.98 – $79.20 |
| UPMC Bedford | Everett | $27.00 | $2.08 – $40.50 |
| UPMC Carlisle | Carlisle | $98.40 | $2.51 – $613.00 |
| UPMC Cole | Coudersport | $20.40 | $2.08 – $27.20 |
| UPMC Community Osteopathic | Harrisburg | $98.40 | $2.51 – $139.40 |
| UPMC Hamot | Erie | $55.80 | $2.18 – $20.49 |
| UPMC Northwest | Seneca | $33.00 | $2.18 – $19.37 |
| UPMC Hanover | Hanover | $98.40 | $2.51 – $613.00 |