Ultrasound breast unilateral limited (both sides) at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$727.80
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.
$1,213.00
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.
$34.92 with Highmark BCBS of PA vs $970.40 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 | $34.92 | ↓ -95% |
| UPMC Health Plan | Commercial | $54.03 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $77.75 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $84.18 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $85.76 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $88.15 | ↓ -88% |
| Aetna of PA | Medicare | $88.15 | ↓ -88% |
| United Healthcare | Medicare | $89.83 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $90.66 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.67 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $90.67 | ↓ -88% |
| Cigna | Medicare | $90.67 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $92.34 | ↓ -87% |
| Aetna | Medicare | $92.34 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $101.07 | ↓ -86% |
| Highmark BCBS of PA | Managed Care | $104.13 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $116.07 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Indemnity | $135.37 | ↓ -81% |
| UPMC Health Plan | CHIP | $196.39 | ↓ -73% |
| Highmark BCBS of PA | UPMC Emergent | $208.26 | ↓ -71% |
| United Healthcare | Compass Exchange | $400.29 | ↓ -45% |
| Aetna | Neighborhood Network | $425.76 | ↓ -42% |
| Aetna | EBR FI | $460.94 | ↓ -37% |
| Aetna | Home Depot Employer Group | $463.37 | ↓ -36% |
| Cigna | NBR ASO/FI | $473.07 | ↓ -35% |
| United Healthcare | All Business | $473.07 | ↓ -35% |
| Aetna | NBR ASO/FI | $473.07 | ↓ -35% |
| Cigna | New Business ASO | $473.07 | ↓ -35% |
| Cigna | Commercial | $485.20 | ↓ -33% |
| Cigna | EBR | $485.20 | ↓ -33% |
| Aetna | EBR ASO | $485.20 | ↓ -33% |
| InterGroup | PPO | $606.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $667.15 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $667.15 | ↓ -8% |
| Coventry/First Health | Commercial | $849.10 | ↑ +17% |
| Private Health Care Systems | PPO | $970.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $253.80 | $34.59 – $338.40 |
| UPMC Bedford | Everett | $291.00 | $30.29 – $436.50 |
| UPMC Carlisle | Carlisle | $280.20 | $16.44 – $134.77 |
| UPMC Cole | Coudersport | $209.40 | $87.12 – $279.20 |
| UPMC Community Osteopathic | Harrisburg | $372.60 | $24.00 – $196.39 |
| UPMC Hamot | Erie | $616.80 | $34.59 – $118.50 |
| UPMC Northwest | Seneca | $400.20 | $54.53 – $116.07 |
| UPMC Hanover | Hanover | $280.20 | $53.63 – $134.58 |