Splint rstrc wrst/cmc right med at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$49.80
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.
$83.00
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.
$15.77 with Health Partners Plans (Jefferson Health Plan) vs $501.86 with UPMC Health Plan — 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 | $15.77 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.26 | ↓ -63% |
| Aetna | Medicare | $20.75 | ↓ -58% |
| United Healthcare | Compass Exchange | $27.39 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $27.39 | ↓ -45% |
| Aetna | Neighborhood Network | $29.13 | ↓ -42% |
| Aetna | EBR FI | $31.54 | ↓ -37% |
| Aetna | Home Depot Employer Group | $31.71 | ↓ -36% |
| Cigna | New Business ASO | $32.37 | ↓ -35% |
| Cigna | NBR ASO/FI | $32.37 | ↓ -35% |
| Aetna | NBR ASO/FI | $32.37 | ↓ -35% |
| United Healthcare | All Business | $32.37 | ↓ -35% |
| Aetna | EBR ASO | $33.20 | ↓ -33% |
| Cigna | EBR | $33.20 | ↓ -33% |
| Cigna | Commercial | $33.20 | ↓ -33% |
| InterGroup | PPO | $41.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $41.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $45.65 | ↓ -8% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.77 | ↓ -2% |
| Coventry/First Health | Commercial | $58.10 | ↑ +17% |
| Private Health Care Systems | PPO | $66.40 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $140.44 | ↑ +182% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $141.16 | ↑ +183% |
| Highmark BCBS of PA | Managed Care | $188.07 | ↑ +278% |
| Highmark BCBS of PA | Commercial - Indemnity | $189.05 | ↑ +280% |
| Highmark BCBS of PA | UPMC Emergent | $376.15 | ↑ +655% |
| UPMC Health Plan | CHIP | $413.56 | ↑ +730% |
| UPMC Health Plan | Commercial | $501.86 | ↑ +908% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Splint rstrc wrst/cmc right med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $106.20 | $33.63 – $413.56 |
| UPMC Bedford | Everett | $128.40 | $40.66 – $413.56 |
| UPMC Cole | Coudersport | $346.20 | $109.63 – $461.60 |
| UPMC Hamot | Erie | $134.40 | $48.31 – $48.31 |
| UPMC Northwest | Seneca | $97.20 | $125.38 – $500.44 |
| UPMC Horizon-Greenville | Greenville | $128.40 | $123.12 – $413.56 |
| UPMC Jameson | New Castle | $72.00 | $23.91 – $413.56 |
| UPMC Magee | Pittsburgh | $128.40 | $48.77 – $413.56 |