Pvb thoracic 2nd+ inj site at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$298.20
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.
$497.00
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.
$48.60 with UPMC Health Plan vs $397.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $48.60 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison Kids | $50.81 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $58.21 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $61.41 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $65.52 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $66.62 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $68.97 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $75.29 | ↓ -75% |
| UPMC Health Plan | Commercial | $104.10 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $110.43 | ↓ -63% |
| Aetna | Medicare | $124.25 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $129.60 | ↓ -57% |
| United Healthcare | Compass Exchange | $164.01 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $168.48 | ↓ -44% |
| Highmark BCBS of PA | Managed Care | $173.57 | ↓ -42% |
| Aetna | Neighborhood Network | $174.45 | ↓ -41% |
| UPMC Health Plan | CHIP | $182.22 | ↓ -39% |
| Aetna | EBR FI | $188.86 | ↓ -37% |
| Aetna | Home Depot Employer Group | $189.85 | ↓ -36% |
| Cigna | NBR ASO/FI | $193.83 | ↓ -35% |
| United Healthcare | All Business | $193.83 | ↓ -35% |
| Cigna | New Business ASO | $193.83 | ↓ -35% |
| Aetna | NBR ASO/FI | $193.83 | ↓ -35% |
| Aetna | EBR ASO | $198.80 | ↓ -33% |
| Cigna | EBR | $198.80 | ↓ -33% |
| Cigna | Commercial | $198.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $225.64 | ↓ -24% |
| InterGroup | PPO | $248.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $347.14 | ↑ +16% |
| Coventry/First Health | Commercial | $347.90 | ↑ +17% |
| Private Health Care Systems | PPO | $397.60 | ↑ +33% |
Visitor-reported prices
Comments
Pvb thoracic 2nd+ inj site at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $72.00 | $33.26 – $110.43 |
| UPMC Hamot | Erie | $311.40 | $48.60 – $147.93 |
| UPMC Jameson | New Castle | $332.40 | $42.31 – $110.43 |
| UPMC Magee | Pittsburgh | $361.80 | $46.54 – $110.43 |
| UPMC Mercy | Pittsburgh | $2,406.00 | $48.60 – $121.88 |
| UPMC Passavant-McCandless | Pittsburgh | $2,976.60 | $48.60 – $128.41 |
| UPMC Presbyterian | Pittsburgh | $4,419.00 | $48.60 – $141.72 |
| UPMC St. Margaret | Pittsburgh | $277.80 | $48.60 – $110.43 |