Trnscath plc stent crv crtd without prtct at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$12,271.20
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.
$20,452.00
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.
$1,863.90 with UPMC Work Partners vs $16,361.60 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $1,863.90 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,912.15 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,994.63 | ↓ -59% |
| Aetna | Medicare | $5,113.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,534.39 | ↓ -55% |
| Highmark BCBS of PA | Managed Care | $6,689.33 | ↓ -45% |
| United Healthcare | Compass Exchange | $6,749.16 | ↓ -45% |
| UPMC Health Plan | CHIP | $7,158.20 | ↓ -42% |
| Aetna | Neighborhood Network | $7,178.65 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,412.10 | ↓ -40% |
| Aetna | EBR FI | $7,771.76 | ↓ -37% |
| Aetna | Home Depot Employer Group | $7,812.66 | ↓ -36% |
| United Healthcare | All Business | $7,976.28 | ↓ -35% |
| Aetna | NBR ASO/FI | $7,976.28 | ↓ -35% |
| Cigna | New Business ASO | $7,976.28 | ↓ -35% |
| Cigna | NBR ASO/FI | $7,976.28 | ↓ -35% |
| Aetna | EBR ASO | $8,180.80 | ↓ -33% |
| Cigna | Commercial | $8,180.80 | ↓ -33% |
| Cigna | EBR | $8,180.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $10,031.71 | ↓ -18% |
| InterGroup | PPO | $10,226.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $10,226.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $11,248.60 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $11,248.60 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $13,378.65 | ↑ +9% |
| Coventry/First Health | Commercial | $14,316.40 | ↑ +17% |
| Private Health Care Systems | PPO | $16,361.60 | ↑ +33% |
Visitor-reported prices
Comments
Trnscath plc stent crv crtd without prtct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,863.00 | $1,863.90 – $18,484.00 |
| UPMC Carlisle | Carlisle | $8,700.60 | $1,067.91 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $8,784.00 | $1,067.91 – $12,325.85 |
| UPMC Hamot | Erie | $8,652.00 | $1,863.90 – $1,894.12 |
| UPMC Hanover | Hanover | $8,700.60 | $1,067.91 – $1,950.60 |
| UPMC Lititz | Lititz | $8,700.60 | $1,041.88 – $1,950.60 |
| UPMC Memorial | York | $8,700.60 | $1,041.88 – $1,950.60 |
| UPMC Mercy | Pittsburgh | $9,821.40 | $1,894.12 – $2,041.78 |