Regadenoson 0.4 mg/5 ml intravenous syringe at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,922.40
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.
$3,204.00
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.
$1.91 with UPMC Health Plan vs $834.65 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 | Managed Medicaid | $1.91 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $3.02 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $3.02 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.02 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.02 | ↓ -100% |
| UPMC Health Plan | Commercial | $3.71 | ↓ -100% |
| United Healthcare | Compass Exchange | $3.81 | ↓ -100% |
| United Healthcare | All Business | $3.81 | ↓ -100% |
| UPMC Health Plan | CHIP | $16.57 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $95.80 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $108.22 | ↓ -94% |
| Aetna | Medicare | $200.25 | ↓ -90% |
| Aetna | Neighborhood Network | $281.15 | ↓ -85% |
| Aetna | EBR FI | $304.38 | ↓ -84% |
| Aetna | Home Depot Employer Group | $305.98 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $311.62 | ↓ -84% |
| Cigna | NBR ASO/FI | $312.39 | ↓ -84% |
| Aetna | NBR ASO/FI | $312.39 | ↓ -84% |
| Cigna | New Business ASO | $312.39 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $313.22 | ↓ -84% |
| Aetna | EBR ASO | $320.40 | ↓ -83% |
| Cigna | Commercial | $320.40 | ↓ -83% |
| Cigna | EBR | $320.40 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $400.50 | ↓ -79% |
| InterGroup | PPO | $400.50 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $417.32 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Indemnity | $419.49 | ↓ -78% |
| Coventry/First Health | Commercial | $560.70 | ↓ -71% |
| Private Health Care Systems | PPO | $640.80 | ↓ -67% |
| Highmark BCBS of PA | UPMC Emergent | $834.65 | ↓ -57% |
Visitor-reported prices
Comments
Regadenoson 0.4 mg/5 ml intravenous syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $741.60 | $1.91 – $247.20 |
| UPMC Bedford | Everett | $893.40 | $1.91 – $335.70 |
| UPMC Carlisle | Carlisle | $30.60 | $0.55 – $20.13 |
| UPMC Cole | Coudersport | $49.80 | $3.02 – $66.40 |
| UPMC Community Osteopathic | Harrisburg | $30.60 | $0.80 – $178.49 |
| UPMC Hamot | Erie | $2,583.60 | $1.91 – $58.45 |
| UPMC Northwest | Seneca | $1,285.80 | $1.91 – $278.22 |
| UPMC Hanover | Hanover | $30.60 | $3.02 – $20.13 |