Tobramycin comp unit at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$662.40
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.
$828.00
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.
$1.47 with Health Partners Plans (Jefferson Health Plan) vs $940.73 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1.47 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $1.55 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison Kids | $1.69 | ↓ -100% |
| United Healthcare | All Business | $57.90 | ↓ -91% |
| United Healthcare | Compass Exchange | $57.90 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $99.03 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $121.97 | ↓ -82% |
| Aetna | Medicare | $207.00 | ↓ -69% |
| UPMC Health Plan | CHIP | $289.80 | ↓ -56% |
| Aetna | Neighborhood Network | $290.63 | ↓ -56% |
| Aetna | EBR FI | $314.64 | ↓ -53% |
| Aetna | Home Depot Employer Group | $316.30 | ↓ -52% |
| Cigna | NBR ASO/FI | $322.92 | ↓ -51% |
| Aetna | NBR ASO/FI | $322.92 | ↓ -51% |
| Cigna | New Business ASO | $322.92 | ↓ -51% |
| Cigna | EBR | $331.20 | ↓ -50% |
| Cigna | Commercial | $331.20 | ↓ -50% |
| Aetna | EBR ASO | $331.20 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $351.23 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $353.03 | ↓ -47% |
| UPMC Health Plan | Commercial | $406.13 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $414.00 | ↓ -38% |
| InterGroup | PPO | $414.00 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $455.40 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $455.40 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $470.37 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Indemnity | $472.80 | ↓ -29% |
| Coventry/First Health | Commercial | $579.60 | ↓ -13% |
| Private Health Care Systems | PPO | $662.40 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $940.73 | ↑ +42% |
Visitor-reported prices
Comments
Tobramycin comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $644.00 | $1.47 – $644.00 |
| UPMC Hamot | Erie | $662.40 | $1.47 – $159.57 |
| UPMC Jameson | New Castle | $820.00 | $49.44 – $122.95 |
| UPMC Magee | Pittsburgh | $1,426.80 | $1.62 – $121.97 |
| UPMC McKeesport | Mckeesport | $662.40 | $1.62 – $121.97 |
| UPMC Mercy | Pittsburgh | $662.40 | $1.69 – $120.82 |
| UPMC Passavant-McCandless | Pittsburgh | $1,426.80 | $1.55 – $121.97 |
| UPMC Presbyterian | Pittsburgh | $1,426.80 | $1.47 – $121.97 |