Ultrasound guide intraoperative at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,607.40
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.
$2,679.00
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.
$176.39 with Highmark BCBS of PA vs $2,143.20 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 | $176.39 | ↓ -89% |
| UPMC Health Plan | Commercial | $327.85 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $392.74 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $510.53 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $525.98 | ↓ -67% |
| Aetna | Medicare | $669.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $683.75 | ↓ -57% |
| UPMC Health Plan | CHIP | $699.27 | ↓ -56% |
| United Healthcare | Compass Exchange | $884.07 | ↓ -45% |
| Aetna | Neighborhood Network | $940.33 | ↓ -41% |
| Aetna | EBR FI | $1,018.02 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,023.38 | ↓ -36% |
| Cigna | NBR ASO/FI | $1,044.81 | ↓ -35% |
| United Healthcare | All Business | $1,044.81 | ↓ -35% |
| Cigna | New Business ASO | $1,044.81 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,044.81 | ↓ -35% |
| Highmark BCBS of PA | UPMC Emergent | $1,051.95 | ↓ -35% |
| Cigna | Commercial | $1,071.60 | ↓ -33% |
| Aetna | EBR ASO | $1,071.60 | ↓ -33% |
| Cigna | EBR | $1,071.60 | ↓ -33% |
| InterGroup | PPO | $1,339.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,339.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $1,473.45 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $1,473.45 | ↓ -8% |
| Coventry/First Health | Commercial | $1,875.30 | ↑ +17% |
| Private Health Care Systems | PPO | $2,143.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound guide intraoperative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $315.60 | $174.73 – $699.27 |
| UPMC Carlisle | Carlisle | $890.40 | $203.31 – $1,261.40 |
| UPMC Cole | Coudersport | $481.80 | $148.16 – $642.40 |
| UPMC Community Osteopathic | Harrisburg | $890.40 | $233.75 – $1,261.40 |
| UPMC Hamot | Erie | $879.00 | $174.73 – $349.19 |
| UPMC Hanover | Hanover | $890.40 | $699.27 – $699.27 |
| UPMC Lititz | Lititz | $890.40 | $54.27 – $699.27 |
| UPMC Magee | Pittsburgh | $1,401.00 | $59.70 – $557.42 |