Radiotherapy dose plan imrt at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$4,927.80
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.
$8,213.00
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.
$832.41 with UPMC Health Plan vs $6,837.03 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $832.41 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,146.43 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $1,188.45 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $1,242.47 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $1,307.99 | ↓ -73% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,332.65 | ↓ -73% |
| United Healthcare | Unison Advantage Non Special Needs | $1,369.69 | ↓ -72% |
| Aetna of PA | Medicare | $1,369.69 | ↓ -72% |
| United Healthcare | Medicare | $1,395.78 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,408.70 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,408.83 | ↓ -71% |
| Cigna | Medicare | $1,408.83 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $1,408.83 | ↓ -71% |
| United Healthcare | Unison Advantage Special Needs | $1,434.92 | ↓ -71% |
| Aetna | Medicare | $1,434.92 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $1,501.66 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,602.25 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,629.26 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,686.63 | ↓ -66% |
| UPMC Health Plan | CHIP | $1,775.48 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $1,841.23 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,552.57 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $2,623.22 | ↓ -47% |
| United Healthcare | Compass Exchange | $2,710.29 | ↓ -45% |
| Aetna | Neighborhood Network | $2,882.76 | ↓ -42% |
| Aetna | EBR FI | $3,120.94 | ↓ -37% |
| Aetna | Home Depot Employer Group | $3,137.37 | ↓ -36% |
| Cigna | New Business ASO | $3,203.07 | ↓ -35% |
| Cigna | NBR ASO/FI | $3,203.07 | ↓ -35% |
| Aetna | NBR ASO/FI | $3,203.07 | ↓ -35% |
| United Healthcare | All Business | $3,203.07 | ↓ -35% |
| Cigna | EBR | $3,285.20 | ↓ -33% |
| Aetna | EBR ASO | $3,285.20 | ↓ -33% |
| Cigna | Commercial | $3,285.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,318.14 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $3,418.51 | ↓ -31% |
| InterGroup | PPO | $4,106.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,443.92 | ↓ -10% |
| Coventry/First Health | Commercial | $5,749.10 | ↑ +17% |
| Private Health Care Systems | PPO | $6,570.40 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $6,837.03 | ↑ +39% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Radiotherapy dose plan imrt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,990.60 | $707.83 – $5,320.80 |
| UPMC Carlisle | Carlisle | $3,873.00 | $884.34 – $5,486.75 |
| UPMC Community Osteopathic | Harrisburg | $3,873.00 | $927.26 – $5,486.75 |
| UPMC Northwest | Seneca | $2,987.40 | $1,120.61 – $2,623.22 |
| UPMC Horizon-Greenville | Greenville | $2,987.40 | $824.39 – $2,623.22 |
| UPMC Lititz | Lititz | $3,873.00 | $927.26 – $2,745.22 |
| UPMC Magee | Pittsburgh | $10,898.40 | $1,146.43 – $2,623.22 |
| UPMC McKeesport | Mckeesport | $4,473.60 | $808.92 – $2,623.22 |