Thiotepa injection at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,195.40
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.
$3,659.00
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.
$208.54 with Highmark BCBS of PA vs $2,927.20 with Private Health Care Systems — 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 | $208.54 | ↓ -91% |
| United Healthcare | Compass Exchange | $221.75 | ↓ -90% |
| United Healthcare | All Business | $221.75 | ↓ -90% |
| UPMC Health Plan | CHIP | $291.49 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $437.62 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $763.46 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $767.37 | ↓ -65% |
| Aetna | Medicare | $914.75 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $1,022.43 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,027.73 | ↓ -53% |
| Aetna | Neighborhood Network | $1,284.31 | ↓ -41% |
| Aetna | EBR FI | $1,390.42 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,397.74 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,427.01 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,427.01 | ↓ -35% |
| Cigna | New Business ASO | $1,427.01 | ↓ -35% |
| Cigna | EBR | $1,463.60 | ↓ -33% |
| Cigna | Commercial | $1,463.60 | ↓ -33% |
| Aetna | EBR ASO | $1,463.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $1,794.74 | ↓ -18% |
| InterGroup | PPO | $1,829.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,829.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $2,012.45 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $2,012.45 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $2,044.86 | ↓ -7% |
| Coventry/First Health | Commercial | $2,561.30 | ↑ +17% |
| Private Health Care Systems | PPO | $2,927.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Thiotepa injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,062.60 | $208.54 – $291.49 |
| UPMC Presbyterian | Pittsburgh | $2,928.60 | $208.54 – $208.54 |
| UPMC Wellsboro | Wellsboro | $2,755.20 | not published |
| UPMC Northwest | Seneca | not published | $681.63 – $681.63 |
| UPMC Mercy | Pittsburgh | not published | $206.57 – $291.49 |
| UPMC St. Margaret | Pittsburgh | not published | $208.54 – $208.54 |