UPMC · Monroeville, PA
34
In-network payers
172
Disclosed rate categories
155
Beds
4
Care quality
Upmc East is a 155-bed voluntary non-profit - private hospital in Monroeville, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 172 disclosed rate categories.
CCN (Medicare provider number)
390328
NPI
1225323983
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
155
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc East most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$375 - $3,755
from 4 insurers · median $2,260
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$78,320 - $160,086
from 2 insurers · median $119,203
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58558
$2,558 - $11,643
from 3 insurers · median $3,259
13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74176
$254 - $2,620
from 4 insurers · median $2,154
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$134 - $1,242
from 4 insurers · median $827
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$390 - $4,146
from 4 insurers · median $3,120
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$15,720 - $28,152
from 2 insurers · median $21,936
11 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 66984
$2,283 - $5,566
from 3 insurers · median $3,897
212 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$575 - $1,173
from 4 insurers · median $1,069
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,911 - $7,690
from 3 insurers · median $5,980
42 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$352 - $2,188
from 4 insurers · median $1,499
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$2,748 - $5,204
from 3 insurers · median $3,533
49 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 43239
$983 - $2,037
from 4 insurers · median $1,930
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,237 - $2,037
from 4 insurers · median $1,940
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,237 - $2,037
from 4 insurers · median $1,910
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$2,931 - $6,547
from 3 insurers · median $5,980
42 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$4,723 - $12,069
from 3 insurers · median $10,670
Typical for a hospital with this service line
MRI imaging
CPT 74183
$663 - $4,146
from 4 insurers · median $2,885
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$295 - $2,627
from 4 insurers · median $1,791
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$35 - $291
from 4 insurers · median $169
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,369 - $3,168
from 4 insurers · median $2,197
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$4,621 - $11,583
from 3 insurers · median $7,321
97 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
MRI imaging
CPT 73721
$1,408 - $2,627
from 4 insurers · median $1,739
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$112 - $668
from 4 insurers · median $544
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 15 | 1054% | 14 | 0 |
| Insurer B* | 22 | 256% | 19 | 3 |
| Insurer C* | 24 | 178% | 13 | 10 |
| Insurer D* | 24 | 104% | 1 | 23 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 2 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc East.
2775 Mosside Boulevard, Monroeville, PA 15146
(412) 357-3000
The nearest hospitals of similar type and size. Their rates are compared with Upmc East for the same insurers and services above.
Allegheny Valley Hospital
▼ Rates typically 24% lower than Upmc East (24 services)
Monongahela Valley Hospital
▼ Rates typically 44% lower than Upmc East (22 services)
Ahn Wexford Hospital
Rates about the same as Upmc East (24 services)
Excela Latrobe Hospital
▲ Rates typically 13% higher than Upmc East (24 services)
Heritage Valley Sewickley
▼ Rates typically 31% lower than Upmc East (24 services)
Canonsburg Hospital
▼ Rates typically 42% lower than Upmc East (24 services)
Forbes Hospital
Upmc Jameson
Upmc Community Osteopathic
Upmc Altoona
About Upmc East's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc East range from $390 to $4,146 across 4 insurers. Cigna's rate is $4,146. The median at nearby comparable hospitals is $680. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc East range from $375 to $3,755 across 4 insurers. Aetna's rate is $2,868. The median at nearby comparable hospitals is $660. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc East range from $1,237 to $2,037 across 4 insurers. UnitedHealthcare's rate is $1,237. The median at nearby comparable hospitals is $1,718. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc East range from $15,720 to $28,152 across 2 insurers. Blue Cross Blue Shield's rate is $28,152. The median at nearby comparable hospitals is $25,373. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc East has 155 beds. Facility type: Short Term Acute Care Hospital.
Upmc East is located at 2775 Mosside Boulevard, Monroeville, PA 15146. Its main phone number is (412) 357-3000.
Upmc East's CMS Certification Number (CCN), also called its Medicare provider number, is 390328.
The National Provider Identifier (NPI) on file for Upmc East is 1225323983.
Upmc East is affiliated with UPMC.
Upmc East lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
172 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers