Tc-99m sestamibi p study dose at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,290.00
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.
$2,150.00
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.
$228.37 with Highmark BCBS of PA vs $1,761.34 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 | $228.37 | ↓ -82% |
| United Healthcare | Compass Exchange | $450.58 | ↓ -65% |
| United Healthcare | All Business | $450.58 | ↓ -65% |
| Aetna | Medicare | $537.50 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $657.61 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $660.98 | ↓ -49% |
| UPMC Health Plan | CHIP | $668.53 | ↓ -48% |
| Aetna | Neighborhood Network | $754.65 | ↓ -42% |
| UPMC Health Plan | Commercial | $811.26 | ↓ -37% |
| Aetna | EBR FI | $817.00 | ↓ -37% |
| Aetna | Home Depot Employer Group | $821.30 | ↓ -36% |
| Cigna | New Business ASO | $838.50 | ↓ -35% |
| Aetna | NBR ASO/FI | $838.50 | ↓ -35% |
| Cigna | NBR ASO/FI | $838.50 | ↓ -35% |
| Aetna | EBR ASO | $860.00 | ↓ -33% |
| Cigna | EBR | $860.00 | ↓ -33% |
| Cigna | Commercial | $860.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $880.67 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $885.23 | ↓ -31% |
| InterGroup | PPO | $1,075.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,075.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $1,182.50 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $1,182.50 | ↓ -8% |
| Coventry/First Health | Commercial | $1,505.00 | ↑ +17% |
| Private Health Care Systems | PPO | $1,720.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,761.34 | ↑ +37% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m sestamibi p study dose at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $446.40 | $226.22 – $1,351.74 |
| UPMC Bedford | Everett | $652.80 | $272.00 – $979.20 |
| UPMC Carlisle | Carlisle | $201.00 | $45.90 – $284.75 |
| UPMC Cole | Coudersport | $528.00 | $243.94 – $704.00 |
| UPMC Community Osteopathic | Harrisburg | $610.80 | $67.00 – $668.53 |
| UPMC Hamot | Erie | $498.60 | $51.00 – $1,226.71 |
| UPMC Northwest | Seneca | $725.40 | $587.12 – $808.98 |
| UPMC Hanover | Hanover | $201.00 | $133.82 – $668.53 |