Radphm lcl tomogr sgl area sgl day at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,929.80
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.
?
What you pay up front if you don't use insurance.
$4,883.00
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.
$300.49 with UPMC Health Plan vs $3,906.40 with Private Health Care Systems — 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 | $300.49 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $314.15 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $348.73 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $379.68 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $405.11 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $411.94 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $426.45 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $465.54 | ↓ -84% |
| UPMC Health Plan | Commercial | $507.01 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $749.90 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $776.46 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,009.33 | ↓ -66% |
| Highmark BCBS of PA | Managed Care | $1,039.87 | ↓ -65% |
| UPMC Health Plan | CHIP | $1,081.42 | ↓ -63% |
| UPMC Health Plan | Managed Medicare | $1,247.98 | ↓ -57% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,271.50 | ↓ -57% |
| United Healthcare | Unison Advantage Non Special Needs | $1,306.85 | ↓ -55% |
| Aetna of PA | Medicare | $1,306.85 | ↓ -55% |
| United Healthcare | Medicare | $1,331.74 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,344.07 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,344.19 | ↓ -54% |
| Cigna | Medicare | $1,344.19 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $1,344.19 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,351.78 | ↓ -54% |
| United Healthcare | Unison Advantage Special Needs | $1,369.08 | ↓ -53% |
| Aetna | Medicare | $1,369.08 | ↓ -53% |
| United Healthcare | Compass Exchange | $1,611.39 | ↓ -45% |
| Aetna | Neighborhood Network | $1,713.93 | ↓ -42% |
| Aetna | EBR FI | $1,855.54 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,865.31 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,904.37 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,904.37 | ↓ -35% |
| United Healthcare | All Business | $1,904.37 | ↓ -35% |
| Cigna | New Business ASO | $1,904.37 | ↓ -35% |
| Aetna | EBR ASO | $1,953.20 | ↓ -33% |
| Cigna | EBR | $1,953.20 | ↓ -33% |
| Cigna | Commercial | $1,953.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $2,079.74 | ↓ -29% |
| InterGroup | PPO | $2,441.50 | ↓ -17% |
| Coventry/First Health | Commercial | $3,418.10 | ↑ +17% |
| Private Health Care Systems | PPO | $3,906.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Radphm lcl tomogr sgl area sgl day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,767.80 | $222.19 – $3,690.40 |
| UPMC Bedford | Everett | $2,311.80 | $286.83 – $3,467.70 |
| UPMC Carlisle | Carlisle | $4,242.60 | $291.07 – $6,010.35 |
| UPMC Cole | Coudersport | $1,448.40 | $286.83 – $1,931.20 |
| UPMC Community Osteopathic | Harrisburg | $4,242.60 | $68.20 – $1,374.06 |
| UPMC Hamot | Erie | $3,064.20 | $300.49 – $1,888.73 |
| UPMC Northwest | Seneca | $2,929.80 | $300.49 – $1,306.85 |
| UPMC Hanover | Hanover | $4,242.60 | $291.07 – $1,995.41 |