Veeg ea 12-26hr cont mntr at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$2,109.60
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.
$3,516.00
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.
$972.58 with UPMC Health Plan vs $6,838.21 with Highmark BCBS of PA — 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 | $972.58 | ↓ -54% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $977.36 | ↓ -54% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $990.91 | ↓ -53% |
| United Healthcare | Unison Advantage Non Special Needs | $1,018.46 | ↓ -52% |
| Aetna of PA | Medicare | $1,018.46 | ↓ -52% |
| United Healthcare | Medicare | $1,037.86 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,047.46 | ↓ -50% |
| Cigna | Medicare | $1,047.56 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,047.56 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $1,047.56 | ↓ -50% |
| Aetna | Medicare | $1,066.96 | ↓ -49% |
| United Healthcare | Unison Advantage Special Needs | $1,066.96 | ↓ -49% |
| UPMC Health Plan | Managed Medicaid | $1,100.00 | ↓ -48% |
| United Healthcare Community Plan for Families | Unison Kids | $1,150.00 | ↓ -45% |
| United Healthcare | Compass Exchange | $1,160.28 | ↓ -45% |
| UPMC Health Plan | CHIP | $1,230.60 | ↓ -42% |
| Aetna | Neighborhood Network | $1,234.12 | ↓ -41% |
| Aetna | EBR FI | $1,336.08 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,343.11 | ↓ -36% |
| United Healthcare | All Business | $1,371.24 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,371.24 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,371.24 | ↓ -35% |
| Cigna | New Business ASO | $1,371.24 | ↓ -35% |
| Geisinger | Medicaid/CHIP | $1,389.90 | ↓ -34% |
| Aetna | EBR ASO | $1,406.40 | ↓ -33% |
| Cigna | Commercial | $1,406.40 | ↓ -33% |
| Cigna | EBR | $1,406.40 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,483.00 | ↓ -30% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,508.00 | ↓ -29% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,561.10 | ↓ -26% |
| PA Health & Wellness | PA Medicaid HMO | $1,704.20 | ↓ -19% |
| UPMC Health Plan | Commercial | $1,724.60 | ↓ -18% |
| InterGroup | PPO | $1,758.00 | ↓ -17% |
| Coventry/First Health | Commercial | $2,461.20 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,552.90 | ↑ +21% |
| Private Health Care Systems | PPO | $2,812.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,828.79 | ↑ +34% |
| Highmark BCBS of PA | Managed Care | $3,419.11 | ↑ +62% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,788.54 | ↑ +80% |
| Highmark BCBS of PA | UPMC Emergent | $6,838.21 | ↑ +224% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Veeg ea 12-26hr cont mntr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,992.60 | $968.14 – $2,656.80 |
| UPMC Hamot | Erie | $2,205.60 | $968.14 – $1,508.00 |
| UPMC Magee | Pittsburgh | $2,109.60 | $907.79 – $1,704.20 |
| UPMC Mercy | Pittsburgh | $2,109.60 | $808.56 – $1,150.00 |
| UPMC Passavant-McCandless | Pittsburgh | $2,109.60 | $901.38 – $1,150.00 |
| UPMC Presbyterian | Pittsburgh | $2,811.60 | $977.36 – $1,556.70 |
| WellSpan Chambersburg Hospital | Chambersburg | $2,765.60 | $1,051.88 – $4,679.08 |