Support clav 29.6-40.5in med at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$47.40
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.
$79.00
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.
$15.01 with Health Partners Plans (Jefferson Health Plan) vs $627.25 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 | $15.01 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.38 | ↓ -63% |
| Aetna | Medicare | $19.75 | ↓ -58% |
| United Healthcare | Compass Exchange | $26.07 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $26.07 | ↓ -45% |
| Aetna | Neighborhood Network | $27.73 | ↓ -41% |
| Aetna | EBR FI | $30.02 | ↓ -37% |
| Aetna | Home Depot Employer Group | $30.18 | ↓ -36% |
| Cigna | New Business ASO | $30.81 | ↓ -35% |
| Cigna | NBR ASO/FI | $30.81 | ↓ -35% |
| Aetna | NBR ASO/FI | $30.81 | ↓ -35% |
| United Healthcare | All Business | $30.81 | ↓ -35% |
| Aetna | EBR ASO | $31.60 | ↓ -33% |
| Cigna | EBR | $31.60 | ↓ -33% |
| Cigna | Commercial | $31.60 | ↓ -33% |
| InterGroup | PPO | $39.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $39.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $43.45 | ↓ -8% |
| Coventry/First Health | Commercial | $55.30 | ↑ +17% |
| Private Health Care Systems | PPO | $63.20 | ↑ +33% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $81.33 | ↑ +72% |
| UPMC Work Partners | Workers Comp | $114.97 | ↑ +143% |
| Highmark BCBS of PA | Managed Care - Social Mission | $234.19 | ↑ +394% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $235.39 | ↑ +397% |
| UPMC Health Plan | CHIP | $299.94 | ↑ +533% |
| Highmark BCBS of PA | Managed Care | $313.63 | ↑ +562% |
| Highmark BCBS of PA | Commercial - Indemnity | $315.25 | ↑ +565% |
| UPMC Health Plan | Commercial | $363.97 | ↑ +668% |
| Highmark BCBS of PA | UPMC Emergent | $627.25 | ↑ +1223% |
Visitor-reported prices
Comments
Support clav 29.6-40.5in med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $180.60 | $57.19 – $299.94 |
| UPMC Bedford | Everett | $128.40 | $40.66 – $299.94 |
| UPMC Cole | Coudersport | $108.00 | $34.20 – $144.00 |
| UPMC Hamot | Erie | $170.40 | $80.56 – $114.97 |
| UPMC Northwest | Seneca | $165.00 | $114.97 – $362.95 |
| UPMC Horizon-Greenville | Greenville | $128.40 | $114.97 – $299.94 |
| UPMC Jameson | New Castle | $40.80 | $36.07 – $299.94 |
| UPMC Magee | Pittsburgh | $128.40 | $39.68 – $299.94 |