Unsched dialysis esrd pt hos at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$415.80
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.
$693.00
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.
$121.97 with Highmark BCBS of PA vs $1,995.66 with UPMC Health Plan — 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 | $121.97 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $211.81 | ↓ -49% |
| United Healthcare | Compass Exchange | $228.69 | ↓ -45% |
| Aetna | Neighborhood Network | $243.24 | ↓ -42% |
| Aetna | EBR FI | $263.34 | ↓ -37% |
| Aetna | Home Depot Employer Group | $264.73 | ↓ -36% |
| Cigna | NBR ASO/FI | $270.27 | ↓ -35% |
| Cigna | New Business ASO | $270.27 | ↓ -35% |
| United Healthcare | All Business | $270.27 | ↓ -35% |
| Aetna | NBR ASO/FI | $270.27 | ↓ -35% |
| Aetna | EBR ASO | $277.20 | ↓ -33% |
| Cigna | EBR | $277.20 | ↓ -33% |
| Cigna | Commercial | $277.20 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $283.68 | ↓ -32% |
| InterGroup | PPO | $346.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $353.03 | ↓ -15% |
| Geisinger | Medicaid/CHIP | $381.15 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $381.15 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $472.80 | ↑ +14% |
| Coventry/First Health | Commercial | $485.10 | ↑ +17% |
| Private Health Care Systems | PPO | $554.40 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $567.36 | ↑ +36% |
| UPMC Health Plan | Managed Medicare | $668.90 | ↑ +61% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $681.51 | ↑ +64% |
| Aetna of PA | Medicare | $700.46 | ↑ +68% |
| United Healthcare | Unison Advantage Non Special Needs | $700.46 | ↑ +68% |
| United Healthcare | Medicare | $713.80 | ↑ +72% |
| Highmark Wholecare (prev Gateway) | Medicare | $720.40 | ↑ +73% |
| AmeriHealth Caritas | Medicare | $720.47 | ↑ +73% |
| Cigna | Medicare | $720.47 | ↑ +73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $720.47 | ↑ +73% |
| United Healthcare | Unison Advantage Special Needs | $733.81 | ↑ +76% |
| Aetna | Medicare | $733.81 | ↑ +76% |
| UPMC Health Plan | CHIP | $1,644.55 | ↑ +296% |
| UPMC Health Plan | Commercial | $1,995.66 | ↑ +380% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Unsched dialysis esrd pt hos at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,635.00 | $120.82 – $2,180.00 |
| UPMC Carlisle | Carlisle | $2,160.60 | $368.15 – $3,060.85 |
| UPMC Community Osteopathic | Harrisburg | $2,160.60 | $503.85 – $3,060.85 |
| UPMC Hamot | Erie | $6,177.60 | $120.82 – $831.51 |
| UPMC Northwest | Seneca | $1,776.60 | $313.58 – $720.47 |
| UPMC Hanover | Hanover | $2,160.60 | $503.85 – $1,644.55 |
| UPMC Horizon-Greenville | Greenville | $721.80 | $307.92 – $720.47 |
| UPMC Jameson | New Castle | $738.00 | $122.95 – $833.88 |