Sinus/juglr venogram s&i at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$5,562.00
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.
$9,270.00
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.
$27.50 with UPMC Health Plan vs $7,416.00 with Private Health Care Systems — 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 | $27.50 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison Kids | $28.75 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $34.75 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.08 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $37.70 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.03 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $42.60 | ↓ -99% |
| UPMC Health Plan | Commercial | $523.31 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $610.44 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $1,312.63 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,359.18 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,766.82 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $1,820.27 | ↓ -67% |
| UPMC Health Plan | CHIP | $1,902.32 | ↓ -66% |
| Aetna | Medicare | $2,317.50 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,366.27 | ↓ -57% |
| United Healthcare | Compass Exchange | $3,059.10 | ↓ -45% |
| Aetna | Neighborhood Network | $3,253.77 | ↓ -42% |
| Aetna | EBR FI | $3,522.60 | ↓ -37% |
| Aetna | Home Depot Employer Group | $3,541.14 | ↓ -36% |
| Cigna | NBR ASO/FI | $3,615.30 | ↓ -35% |
| United Healthcare | All Business | $3,615.30 | ↓ -35% |
| Aetna | NBR ASO/FI | $3,615.30 | ↓ -35% |
| Cigna | New Business ASO | $3,615.30 | ↓ -35% |
| Highmark BCBS of PA | UPMC Emergent | $3,640.54 | ↓ -35% |
| Cigna | Commercial | $3,708.00 | ↓ -33% |
| Cigna | EBR | $3,708.00 | ↓ -33% |
| Aetna | EBR ASO | $3,708.00 | ↓ -33% |
| InterGroup | PPO | $4,635.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,635.00 | ↓ -17% |
| Coventry/First Health | Commercial | $6,489.00 | ↑ +17% |
| Private Health Care Systems | PPO | $7,416.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Sinus/juglr venogram s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,778.20 | $15.00 – $5,037.60 |
| UPMC Carlisle | Carlisle | $5,906.40 | $19.65 – $8,367.40 |
| UPMC Community Osteopathic | Harrisburg | $5,906.40 | $19.65 – $8,367.40 |
| UPMC Hamot | Erie | $1,674.00 | $27.50 – $4,114.32 |
| UPMC Hanover | Hanover | $5,906.40 | $19.65 – $4,810.90 |
| UPMC Lititz | Lititz | $5,906.40 | $19.65 – $4,836.88 |
| UPMC Magee | Pittsburgh | $2,500.80 | $27.50 – $3,240.82 |
| UPMC Memorial | York | $5,906.40 | $19.65 – $4,829.02 |