Tc-99m exametazime diag at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$9,442.80
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.
$15,738.00
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.
$802.34 with United Healthcare vs $12,889.91 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 |
|---|---|---|---|
| United Healthcare | All Business | $802.34 | ↓ -92% |
| United Healthcare | Compass Exchange | $802.34 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $804.51 | ↓ -91% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $819.67 | ↓ -91% |
| United Healthcare | Unison Advantage Non Special Needs | $842.46 | ↓ -91% |
| Aetna of PA | Medicare | $842.46 | ↓ -91% |
| United Healthcare | Medicare | $858.50 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $866.45 | ↓ -91% |
| Cigna | Medicare | $866.53 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $866.53 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $866.53 | ↓ -91% |
| Aetna | Medicare | $882.57 | ↓ -91% |
| United Healthcare | Unison Advantage Special Needs | $882.57 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,671.27 | ↓ -82% |
| UPMC Health Plan | CHIP | $3,270.62 | ↓ -65% |
| UPMC Health Plan | Commercial | $3,968.90 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,812.52 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,837.19 | ↓ -49% |
| Aetna | Neighborhood Network | $5,524.04 | ↓ -41% |
| Aetna | EBR FI | $5,980.44 | ↓ -37% |
| Aetna | Home Depot Employer Group | $6,011.92 | ↓ -36% |
| Cigna | NBR ASO/FI | $6,137.82 | ↓ -35% |
| Aetna | NBR ASO/FI | $6,137.82 | ↓ -35% |
| Cigna | New Business ASO | $6,137.82 | ↓ -35% |
| Aetna | EBR ASO | $6,295.20 | ↓ -33% |
| Cigna | Commercial | $6,295.20 | ↓ -33% |
| Cigna | EBR | $6,295.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $6,444.95 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,478.35 | ↓ -31% |
| InterGroup | PPO | $7,869.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $8,655.90 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $8,655.90 | ↓ -8% |
| Coventry/First Health | Commercial | $11,016.60 | ↑ +17% |
| Private Health Care Systems | PPO | $12,590.40 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $12,889.91 | ↑ +37% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,344.40 | $818.23 – $12,459.20 |
| UPMC Cole | Coudersport | $1,335.00 | $616.77 – $1,780.00 |
| UPMC Hamot | Erie | $3,633.00 | $802.34 – $1,655.50 |
| UPMC Northwest | Seneca | $1,750.20 | $727.64 – $866.53 |
| UPMC Horizon-Greenville | Greenville | $3,621.00 | $718.34 – $1,505.59 |
| UPMC Jameson | New Castle | $2,082.00 | $802.34 – $1,684.72 |
| UPMC Magee | Pittsburgh | $566.40 | $750.91 – $1,671.27 |
| UPMC McKeesport | Mckeesport | $4,600.20 | $743.69 – $1,671.27 |