Treat thigh fracture at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$8,910.00
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.
?
What you pay up front if you don't use insurance.
$14,850.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,622.48 with Highmark BCBS of PA vs $11,880.00 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,622.48 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $2,157.12 | ↓ -76% |
| UPMC Health Plan | Commercial | $3,277.13 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,612.51 | ↓ -59% |
| Aetna | Medicare | $3,712.50 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,695.98 | ↓ -47% |
| Highmark BCBS of PA | Managed Care | $4,838.04 | ↓ -46% |
| United Healthcare | Compass Exchange | $4,900.50 | ↓ -45% |
| Aetna | Neighborhood Network | $5,212.35 | ↓ -42% |
| Aetna | EBR FI | $5,643.00 | ↓ -37% |
| Aetna | Home Depot Employer Group | $5,672.70 | ↓ -36% |
| UPMC Health Plan | CHIP | $5,736.58 | ↓ -36% |
| Aetna | NBR ASO/FI | $5,791.50 | ↓ -35% |
| United Healthcare | All Business | $5,791.50 | ↓ -35% |
| Cigna | NBR ASO/FI | $5,791.50 | ↓ -35% |
| Cigna | New Business ASO | $5,791.50 | ↓ -35% |
| Cigna | Commercial | $5,940.00 | ↓ -33% |
| Aetna | EBR ASO | $5,940.00 | ↓ -33% |
| Cigna | EBR | $5,940.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,289.23 | ↓ -29% |
| InterGroup | PPO | $7,425.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,425.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $8,167.50 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $8,167.50 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $9,676.07 | ↑ +9% |
| Coventry/First Health | Commercial | $10,395.00 | ↑ +17% |
| Private Health Care Systems | PPO | $11,880.00 | ↑ +33% |
Visitor-reported prices
Comments
Treat thigh fracture at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,496.40 | $691.34 – $1,995.20 |
| UPMC Mercy | Pittsburgh | $4,002.60 | $1,607.17 – $3,171.10 |
| UPMC Presbyterian | Pittsburgh | $6,364.20 | $349.20 – $2,548.12 |
| UPMC Williamsport | Williamsport | $9,977.40 | $372.48 – $2,382.87 |