Ultrasound joint complete left at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$1,414.20
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.
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What you pay up front if you don't use insurance.
$2,357.00
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.
$101.65 with UPMC Health Plan vs $1,885.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $101.65 | ↓ -93% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $103.57 | ↓ -93% |
| Aetna of PA | Medicare | $106.45 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $106.45 | ↓ -92% |
| United Healthcare | Medicare | $108.48 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↓ -92% |
| Cigna | Medicare | $109.49 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -92% |
| Aetna | Medicare | $111.52 | ↓ -92% |
| United Healthcare | Unison Advantage Special Needs | $111.52 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $155.22 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $170.06 | ↓ -88% |
| UPMC Health Plan | Commercial | $257.96 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $345.61 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $449.27 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $462.86 | ↓ -67% |
| UPMC Health Plan | CHIP | $550.20 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity | $601.70 | ↓ -57% |
| United Healthcare | Compass Exchange | $777.81 | ↓ -45% |
| Aetna | Neighborhood Network | $827.31 | ↓ -41% |
| Aetna | EBR FI | $895.66 | ↓ -37% |
| Aetna | Home Depot Employer Group | $900.37 | ↓ -36% |
| Cigna | NBR ASO/FI | $919.23 | ↓ -35% |
| United Healthcare | All Business | $919.23 | ↓ -35% |
| Aetna | NBR ASO/FI | $919.23 | ↓ -35% |
| Cigna | New Business ASO | $919.23 | ↓ -35% |
| Highmark BCBS of PA | UPMC Emergent | $925.72 | ↓ -35% |
| Cigna | Commercial | $942.80 | ↓ -33% |
| Cigna | EBR | $942.80 | ↓ -33% |
| Aetna | EBR ASO | $942.80 | ↓ -33% |
| InterGroup | PPO | $1,178.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $1,296.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,296.35 | ↓ -8% |
| Coventry/First Health | Commercial | $1,649.90 | ↑ +17% |
| Private Health Care Systems | PPO | $1,885.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound joint complete left at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $626.40 | $36.58 – $939.60 |
| UPMC Carlisle | Carlisle | $394.20 | $55.95 – $558.45 |
| UPMC Cole | Coudersport | $333.60 | $59.18 – $444.80 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $86.70 – $558.45 |
| UPMC Northwest | Seneca | $625.80 | $91.94 – $170.06 |
| UPMC Hanover | Hanover | $394.20 | $86.70 – $550.20 |
| UPMC Horizon-Greenville | Greenville | $625.80 | $90.77 – $190.24 |
| UPMC Jameson | New Castle | $1,524.60 | $51.46 – $170.06 |