Sec art mech thrmbc non-intracranial add-on at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$7,215.60
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.
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What you pay up front if you don't use insurance.
$12,026.00
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.
$3,006.50 with Aetna vs $21,143.60 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 |
|---|---|---|---|
| Aetna | Medicare | $3,006.50 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $3,170.58 | ↓ -56% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,545.35 | ↓ -51% |
| United Healthcare | Compass Exchange | $3,968.58 | ↓ -45% |
| Aetna | Neighborhood Network | $4,221.13 | ↓ -41% |
| Aetna | EBR FI | $4,569.88 | ↓ -37% |
| Aetna | Home Depot Employer Group | $4,593.93 | ↓ -36% |
| Cigna | NBR ASO/FI | $4,690.14 | ↓ -35% |
| Cigna | New Business ASO | $4,690.14 | ↓ -35% |
| Aetna | NBR ASO/FI | $4,690.14 | ↓ -35% |
| United Healthcare | All Business | $4,690.14 | ↓ -35% |
| Cigna | Commercial | $4,810.40 | ↓ -33% |
| Cigna | EBR | $4,810.40 | ↓ -33% |
| Aetna | EBR ASO | $4,810.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $5,898.75 | ↓ -18% |
| InterGroup | PPO | $6,013.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,013.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $6,301.51 | ↓ -13% |
| PA Health & Wellness | PA Medicaid HMO | $6,614.30 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,614.30 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,893.85 | ↑ +9% |
| Coventry/First Health | Commercial | $8,418.20 | ↑ +17% |
| Private Health Care Systems | PPO | $9,620.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,261.38 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $10,571.80 | ↑ +47% |
| Highmark BCBS of PA | Commercial - Indemnity | $13,742.87 | ↑ +90% |
| Highmark BCBS of PA | UPMC Emergent | $21,143.60 | ↑ +193% |
Visitor-reported prices
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Sec art mech thrmbc non-intracranial add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,609.20 | $3,170.58 – $10,145.60 |
| UPMC Carlisle | Carlisle | $12,577.80 | $265.12 – $17,818.55 |
| UPMC Community Osteopathic | Harrisburg | $12,577.80 | $265.12 – $17,818.55 |
| UPMC Hamot | Erie | $7,408.20 | $3,170.58 – $7,823.55 |
| UPMC Hanover | Hanover | $12,577.80 | $265.12 – $6,301.51 |
| UPMC Lititz | Lititz | $12,577.80 | $258.87 – $6,301.51 |
| UPMC Memorial | York | $12,577.80 | $258.87 – $6,301.51 |
| UPMC Mercy | Pittsburgh | $8,416.80 | $3,511.91 – $3,959.04 |