Sling suprapubic suburetheral at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$3,870.00
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.
$6,450.00
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.
$543.78 with Health Partners Plans (Jefferson Health Plan) vs $6,894.26 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $543.78 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $629.64 | ↓ -84% |
| Aetna | Medicare | $715.50 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $893.89 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $944.46 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $944.46 | ↓ -76% |
| United Healthcare | Compass Exchange | $944.46 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $968.21 | ↓ -75% |
| Aetna | Neighborhood Network | $1,004.56 | ↓ -74% |
| Aetna | EBR FI | $1,087.56 | ↓ -72% |
| Aetna | Home Depot Employer Group | $1,093.28 | ↓ -72% |
| Cigna | NBR ASO/FI | $1,116.18 | ↓ -71% |
| United Healthcare | All Business | $1,116.18 | ↓ -71% |
| Aetna | NBR ASO/FI | $1,116.18 | ↓ -71% |
| Cigna | New Business ASO | $1,116.18 | ↓ -71% |
| Cigna | Commercial | $1,144.80 | ↓ -70% |
| Aetna | EBR ASO | $1,144.80 | ↓ -70% |
| Cigna | EBR | $1,144.80 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,431.00 | ↓ -63% |
| InterGroup | PPO | $1,431.00 | ↓ -63% |
| Coventry/First Health | Commercial | $2,003.40 | ↓ -48% |
| Private Health Care Systems | PPO | $2,289.60 | ↓ -41% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,574.01 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,587.21 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $3,447.13 | ↓ -11% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,465.00 | ↓ -10% |
| UPMC Health Plan | CHIP | $4,016.99 | ↑ +4% |
| UPMC Health Plan | Commercial | $4,874.62 | ↑ +26% |
| Highmark BCBS of PA | UPMC Emergent | $6,894.26 | ↑ +78% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Sling suprapubic suburetheral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,321.80 | $885.46 – $4,948.80 |
| UPMC Bedford | Everett | $3,422.40 | $1,083.76 – $5,133.60 |
| UPMC Cole | Coudersport | $2,908.80 | $921.12 – $3,878.40 |
| UPMC Hamot | Erie | $4,768.80 | $885.46 – $885.46 |
| UPMC Northwest | Seneca | $3,137.40 | $2,298.10 – $4,860.92 |
| UPMC Horizon-Greenville | Greenville | $4,053.60 | $2,256.66 – $4,016.99 |
| UPMC Jameson | New Castle | $1,707.60 | $87.91 – $4,016.99 |
| UPMC Magee | Pittsburgh | $6,976.80 | $96.70 – $4,016.99 |