Tc-99m sulfur colloid at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$681.00
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.
$1,135.00
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.
$120.62 with Highmark BCBS of PA vs $930.31 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 | $120.62 | ↓ -82% |
| Aetna | Medicare | $283.75 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $347.34 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $349.12 | ↓ -49% |
| United Healthcare | Compass Exchange | $385.90 | ↓ -43% |
| Aetna | Neighborhood Network | $398.38 | ↓ -42% |
| UPMC Health Plan | CHIP | $419.55 | ↓ -38% |
| Aetna | EBR FI | $431.30 | ↓ -37% |
| Aetna | Home Depot Employer Group | $433.57 | ↓ -36% |
| Cigna | NBR ASO/FI | $442.65 | ↓ -35% |
| Aetna | NBR ASO/FI | $442.65 | ↓ -35% |
| Cigna | New Business ASO | $442.65 | ↓ -35% |
| Aetna | EBR ASO | $454.00 | ↓ -33% |
| Cigna | EBR | $454.00 | ↓ -33% |
| United Healthcare | All Business | $454.00 | ↓ -33% |
| Cigna | Commercial | $454.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $465.16 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $467.57 | ↓ -31% |
| UPMC Health Plan | Commercial | $509.13 | ↓ -25% |
| InterGroup | PPO | $567.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $567.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $624.25 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $624.25 | ↓ -8% |
| Coventry/First Health | Commercial | $794.50 | ↑ +17% |
| Private Health Care Systems | PPO | $908.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $930.31 | ↑ +37% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m sulfur colloid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $235.20 | $119.48 – $2,254.20 |
| UPMC Bedford | Everett | $254.40 | $106.00 – $419.55 |
| UPMC Carlisle | Carlisle | $469.20 | $107.13 – $664.70 |
| UPMC Cole | Coudersport | $373.80 | $172.70 – $713.83 |
| UPMC Community Osteopathic | Harrisburg | $469.20 | $156.40 – $664.70 |
| UPMC Hamot | Erie | $359.40 | $119.48 – $1,504.51 |
| UPMC Northwest | Seneca | $186.00 | $310.11 – $507.70 |
| UPMC Hanover | Hanover | $469.20 | $384.52 – $419.55 |