Stent/athrectomy/fem/pop/unilat 37227 at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$108,697.20
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.
$181,162.00
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.
$13,679.03 with UPMC Health Plan vs $156,311.75 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $13,679.03 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $17,165.80 | ↓ -84% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $17,489.36 | ↓ -84% |
| Aetna of PA | Medicare | $17,975.56 | ↓ -83% |
| United Healthcare | Unison Advantage Non Special Needs | $17,975.56 | ↓ -83% |
| United Healthcare | Medicare | $18,317.95 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $18,487.43 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $18,489.15 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18,489.15 | ↓ -83% |
| Cigna | Medicare | $18,489.15 | ↓ -83% |
| United Healthcare | Unison Advantage Special Needs | $18,831.54 | ↓ -83% |
| Aetna | Medicare | $18,831.54 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $21,313.78 | ↓ -80% |
| UPMC Health Plan | CHIP | $23,945.04 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $26,210.26 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $58,358.15 | ↓ -46% |
| United Healthcare | Compass Exchange | $59,783.46 | ↓ -45% |
| Aetna | Neighborhood Network | $63,587.86 | ↓ -42% |
| Aetna | EBR FI | $68,841.56 | ↓ -37% |
| Aetna | Home Depot Employer Group | $69,203.88 | ↓ -36% |
| Cigna | NBR ASO/FI | $70,653.18 | ↓ -35% |
| Aetna | NBR ASO/FI | $70,653.18 | ↓ -35% |
| Cigna | New Business ASO | $70,653.18 | ↓ -35% |
| United Healthcare | All Business | $70,653.18 | ↓ -35% |
| Cigna | Commercial | $72,464.80 | ↓ -33% |
| Aetna | EBR ASO | $72,464.80 | ↓ -33% |
| Cigna | EBR | $72,464.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $75,860.99 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $78,155.87 | ↓ -28% |
| InterGroup | PPO | $90,581.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $99,639.10 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $99,639.10 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $101,599.14 | ↓ -7% |
| Coventry/First Health | Commercial | $126,813.40 | ↑ +17% |
| Private Health Care Systems | PPO | $144,929.60 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $156,311.75 | ↑ +44% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Stent/athrectomy/fem/pop/unilat 37227 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $56,509.20 | $17,458.55 – $75,345.60 |
| UPMC Carlisle | Carlisle | $24,161.40 | $1,016.56 – $34,228.65 |
| UPMC Community Osteopathic | Harrisburg | $24,161.40 | $1,016.56 – $34,228.65 |
| UPMC Hamot | Erie | $54,766.80 | $690.34 – $25,963.03 |
| UPMC Northwest | Seneca | $54,766.80 | $15,525.75 – $21,313.78 |
| UPMC Hanover | Hanover | $24,161.40 | $1,016.56 – $27,446.48 |
| UPMC Lititz | Lititz | $24,161.40 | $1,016.56 – $27,594.74 |
| UPMC Memorial | York | $24,161.40 | $1,016.56 – $27,549.92 |