Reposition pm/icd lead at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,346.60
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.
$3,911.00
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.
$564.80 with UPMC Work Partners vs $8,604.23 with UPMC Health Plan — 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 Work Partners | Workers Comp | $564.80 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $566.16 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,260.57 | ↓ -46% |
| United Healthcare | Compass Exchange | $1,290.63 | ↓ -45% |
| Aetna | Neighborhood Network | $1,372.76 | ↓ -42% |
| Aetna | EBR FI | $1,486.18 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,494.00 | ↓ -36% |
| United Healthcare | All Business | $1,525.29 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,525.29 | ↓ -35% |
| Cigna | New Business ASO | $1,525.29 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,525.29 | ↓ -35% |
| Aetna | EBR ASO | $1,564.40 | ↓ -33% |
| Cigna | EBR | $1,564.40 | ↓ -33% |
| Cigna | Commercial | $1,564.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,638.65 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $1,688.22 | ↓ -28% |
| UPMC Health Plan | Commercial | $1,918.35 | ↓ -18% |
| InterGroup | PPO | $1,955.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $2,151.05 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $2,151.05 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,194.61 | ↓ -6% |
| Coventry/First Health | Commercial | $2,737.70 | ↑ +17% |
| UPMC Health Plan | Managed Medicare | $3,008.86 | ↑ +28% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,065.58 | ↑ +31% |
| Private Health Care Systems | PPO | $3,128.80 | ↑ +33% |
| Aetna of PA | Medicare | $3,150.80 | ↑ +34% |
| United Healthcare | Unison Advantage Non Special Needs | $3,150.80 | ↑ +34% |
| United Healthcare | Medicare | $3,210.81 | ↑ +37% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↑ +38% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↑ +38% |
| Cigna | Medicare | $3,240.82 | ↑ +38% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↑ +38% |
| Aetna | Medicare | $3,300.84 | ↑ +41% |
| United Healthcare | Unison Advantage Special Needs | $3,300.84 | ↑ +41% |
| Highmark BCBS of PA | UPMC Emergent | $3,376.44 | ↑ +44% |
| UPMC Health Plan | CHIP | $8,604.23 | ↑ +267% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Reposition pm/icd lead at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,233.80 | $560.82 – $3,240.82 |
| UPMC Carlisle | Carlisle | $4,608.60 | $591.07 – $6,528.85 |
| UPMC Community Osteopathic | Harrisburg | $4,608.60 | $591.07 – $8,604.23 |
| UPMC Hamot | Erie | $4,009.80 | $560.82 – $4,364.40 |
| UPMC Hanover | Hanover | $4,608.60 | $591.07 – $8,604.23 |
| UPMC Jameson | New Castle | $3,602.40 | $564.80 – $4,051.03 |
| UPMC Lititz | Lititz | $4,608.60 | $591.07 – $8,604.23 |
| UPMC Memorial | York | $4,608.60 | $457.09 – $8,604.23 |