Rpr aa hrn 1st 3-10 ncr/strn at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,625.40
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.
$2,709.00
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.
$294.14 with Highmark BCBS of PA vs $6,118.60 with Aetna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $294.14 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $654.92 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $751.37 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $851.34 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $877.09 | ↓ -46% |
| United Healthcare | Compass Exchange | $893.97 | ↓ -45% |
| Aetna | Neighborhood Network | $950.86 | ↓ -41% |
| Aetna | EBR FI | $1,029.42 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,034.84 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,056.51 | ↓ -35% |
| United Healthcare | All Business | $1,056.51 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,056.51 | ↓ -35% |
| Cigna | New Business ASO | $1,056.51 | ↓ -35% |
| Aetna | EBR ASO | $1,083.60 | ↓ -33% |
| Cigna | Commercial | $1,083.60 | ↓ -33% |
| Cigna | EBR | $1,083.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,140.18 | ↓ -30% |
| InterGroup | PPO | $1,354.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $1,489.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,489.95 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $1,754.19 | ↑ +8% |
| Coventry/First Health | Commercial | $1,896.30 | ↑ +17% |
| Private Health Care Systems | PPO | $2,167.20 | ↑ +33% |
| UPMC Health Plan | Commercial | $2,801.10 | ↑ +72% |
| UPMC Health Plan | CHIP | $4,903.30 | ↑ +202% |
| UPMC Health Plan | Managed Medicare | $5,577.38 | ↑ +243% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5,682.51 | ↑ +250% |
| United Healthcare | Unison Advantage Non Special Needs | $5,840.48 | ↑ +259% |
| Aetna of PA | Medicare | $5,840.48 | ↑ +259% |
| United Healthcare | Medicare | $5,951.73 | ↑ +266% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,006.79 | ↑ +270% |
| Cigna | Medicare | $6,007.35 | ↑ +270% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,007.35 | ↑ +270% |
| AmeriHealth Caritas | Medicare | $6,007.35 | ↑ +270% |
| United Healthcare | Unison Advantage Special Needs | $6,118.60 | ↑ +276% |
| Aetna | Medicare | $6,118.60 | ↑ +276% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rpr aa hrn 1st 3-10 ncr/strn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,805.80 | $291.37 – $13,074.40 |
| UPMC Cole | Coudersport | $954.60 | $441.03 – $2,325.85 |
| UPMC Hamot | Erie | $1,600.20 | $291.37 – $8,090.06 |
| UPMC Magee | Pittsburgh | $10,089.00 | $294.14 – $6,118.60 |
| UPMC Passavant-McCandless | Pittsburgh | $10,089.00 | $294.14 – $6,118.60 |
| UPMC Williamsport | Williamsport | $1,793.40 | $751.37 – $6,007.35 |
| Uniontown Hospital | Uniontown | $4,265.50 | $586.26 – $12,170.53 |
| UPMC Bedford | Everett | not published | $751.37 – $6,007.35 |