System pcmkr dual chamber leadless micra av2 intrdcr cath at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$25,932.00
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.
$43,220.00
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.
$4,422.80 with Highmark BCBS of PA vs $34,111.52 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,422.80 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5,109.29 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5,916.02 | ↓ -77% |
| Aetna | Medicare | $6,722.75 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $8,874.03 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $8,874.03 | ↓ -66% |
| United Healthcare | Compass Exchange | $8,874.03 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9,097.23 | ↓ -65% |
| Aetna | Neighborhood Network | $9,438.74 | ↓ -64% |
| Aetna | EBR FI | $10,218.58 | ↓ -61% |
| Aetna | Home Depot Employer Group | $10,272.36 | ↓ -60% |
| Cigna | NBR ASO/FI | $10,487.49 | ↓ -60% |
| United Healthcare | All Business | $10,487.49 | ↓ -60% |
| Aetna | NBR ASO/FI | $10,487.49 | ↓ -60% |
| Cigna | New Business ASO | $10,487.49 | ↓ -60% |
| Cigna | Commercial | $10,756.40 | ↓ -59% |
| Aetna | EBR ASO | $10,756.40 | ↓ -59% |
| Cigna | EBR | $10,756.40 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $12,735.73 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $12,801.01 | ↓ -51% |
| InterGroup | PPO | $13,445.50 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,445.50 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $17,055.76 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Indemnity | $17,144.15 | ↓ -34% |
| UPMC Health Plan | CHIP | $18,468.91 | ↓ -29% |
| Coventry/First Health | Commercial | $18,823.70 | ↓ -27% |
| Private Health Care Systems | PPO | $21,512.80 | ↓ -17% |
| UPMC Health Plan | Commercial | $22,412.02 | ↓ -14% |
| Highmark BCBS of PA | UPMC Emergent | $34,111.52 | ↑ +32% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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System pcmkr dual chamber leadless micra av2 intrdcr cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,250.00 | $0.19 – $18,468.91 |
| UPMC Bedford | Everett | $9,612.00 | $1,998.99 – $18,468.91 |
| UPMC Cole | Coudersport | $6,752.40 | $2,138.26 – $9,003.20 |
| UPMC Community Osteopathic | Harrisburg | $9,256.80 | $3,085.60 – $23,061.01 |
| UPMC Hamot | Erie | $24,756.60 | $4,381.08 – $4,381.08 |
| UPMC Northwest | Seneca | $7,169.40 | $11,370.59 – $22,349.03 |
| UPMC Horizon-Greenville | Greenville | $6,763.80 | $11,165.53 – $18,468.91 |
| UPMC Jameson | New Castle | $7,450.20 | $275.42 – $18,468.91 |