Tc-99m mertiatide at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$4,724.40
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.
$7,874.00
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.
$768.23 with United Healthcare vs $6,447.78 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 | Compass Exchange | $768.23 | ↓ -84% |
| United Healthcare | All Business | $768.23 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $836.00 | ↓ -82% |
| UPMC Health Plan | CHIP | $1,449.95 | ↓ -69% |
| UPMC Health Plan | Commercial | $1,759.52 | ↓ -63% |
| Aetna | Medicare | $1,968.50 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,407.31 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,419.65 | ↓ -49% |
| Aetna | Neighborhood Network | $2,763.77 | ↓ -42% |
| Aetna | EBR FI | $2,992.12 | ↓ -37% |
| Aetna | Home Depot Employer Group | $3,007.87 | ↓ -36% |
| Cigna | New Business ASO | $3,070.86 | ↓ -35% |
| Aetna | NBR ASO/FI | $3,070.86 | ↓ -35% |
| Cigna | NBR ASO/FI | $3,070.86 | ↓ -35% |
| Aetna | EBR ASO | $3,149.60 | ↓ -33% |
| Cigna | EBR | $3,149.60 | ↓ -33% |
| Cigna | Commercial | $3,149.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $3,223.89 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,240.60 | ↓ -31% |
| InterGroup | PPO | $3,937.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,937.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $4,330.70 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $4,330.70 | ↓ -8% |
| Coventry/First Health | Commercial | $5,511.80 | ↑ +17% |
| Private Health Care Systems | PPO | $6,299.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $6,447.78 | ↑ +36% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Tc-99m mertiatide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,634.40 | $828.11 – $2,304.69 |
| UPMC Bedford | Everett | $1,771.80 | $738.25 – $2,657.70 |
| UPMC Carlisle | Carlisle | $1,284.60 | $293.32 – $1,819.85 |
| UPMC Cole | Coudersport | $587.40 | $271.38 – $783.20 |
| UPMC Community Osteopathic | Harrisburg | $1,284.60 | $96.18 – $1,819.85 |
| UPMC Hamot | Erie | $1,470.60 | $588.24 – $2,117.21 |
| UPMC Hanover | Hanover | $1,284.60 | $1,449.95 – $1,449.95 |
| UPMC Horizon-Greenville | Greenville | $1,876.80 | $768.23 – $2,110.51 |