Stent axios caut enh 15x10mm electrocaut at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$20,259.00
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.
$33,765.00
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.
$1,197.00 with Health Partners Plans (Jefferson Health Plan) vs $13,075.74 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 | $1,197.00 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,386.00 | ↓ -93% |
| Aetna | Medicare | $1,575.00 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,695.36 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $2,079.00 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $2,079.00 | ↓ -90% |
| United Healthcare | Compass Exchange | $2,079.00 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,131.29 | ↓ -89% |
| Aetna | Neighborhood Network | $2,211.30 | ↓ -89% |
| Aetna | EBR FI | $2,394.00 | ↓ -88% |
| Aetna | Home Depot Employer Group | $2,406.60 | ↓ -88% |
| Cigna | NBR ASO/FI | $2,457.00 | ↓ -88% |
| United Healthcare | All Business | $2,457.00 | ↓ -88% |
| Aetna | NBR ASO/FI | $2,457.00 | ↓ -88% |
| Cigna | New Business ASO | $2,457.00 | ↓ -88% |
| Cigna | Commercial | $2,520.00 | ↓ -88% |
| Aetna | EBR ASO | $2,520.00 | ↓ -88% |
| Cigna | EBR | $2,520.00 | ↓ -88% |
| InterGroup | PPO | $3,150.00 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,150.00 | ↓ -84% |
| Coventry/First Health | Commercial | $4,410.00 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,881.90 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,906.93 | ↓ -76% |
| Private Health Care Systems | PPO | $5,040.00 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $6,537.87 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,571.75 | ↓ -68% |
| UPMC Health Plan | CHIP | $10,655.51 | ↓ -47% |
| UPMC Health Plan | Commercial | $12,930.46 | ↓ -36% |
| Highmark BCBS of PA | UPMC Emergent | $13,075.74 | ↓ -35% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Stent axios caut enh 15x10mm electrocaut at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $44,236.80 | $392.73 – $10,655.51 |
| UPMC Cole | Coudersport | $3,393.00 | $1,074.45 – $4,524.00 |
| UPMC Community Osteopathic | Harrisburg | $10,104.60 | $1,299.80 – $10,655.51 |
| UPMC Hamot | Erie | $56,324.40 | $1,679.37 – $1,679.37 |
| UPMC Northwest | Seneca | $4,290.60 | $4,358.61 – $12,894.12 |
| UPMC Jameson | New Castle | $26,710.20 | $492.41 – $10,655.51 |
| UPMC Magee | Pittsburgh | $23,331.00 | $541.65 – $10,655.51 |
| UPMC McKeesport | Mckeesport | $12,459.00 | $541.65 – $10,655.51 |