STONE ANALYSIS at UPMC East

Monroeville, PA

Pricing by billing methodology

Price type

How this price compares nationally

UPMC East’s median price of $109 is 444% above the median hospital's median price ($20), higher than 92% of the 2,489 hospitals reporting CPT 82365. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 82365 at UPMC East

Negotiated rates from the hospital’s own file: 6 payers, 40 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare unison kids facility · fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
2	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
3	UnitedHealthcare medicare facility · fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
4	Aetna medicare facility · fee schedule · outpatient	$14	$14	$0	2%	—	$14 – $14
5	Amerihealth Caritas medicare facility · fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
6	Cigna medicare facility · fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
7	Highmark medicare facility · fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
8	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
9	Highmark medicaid facility · fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
10	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
11	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
12	Highmark managed care - social mission facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
13	Highmark managed care facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
14	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
15	Highmark commercial - indemnity facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
16	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
17	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
18	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
19	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
20	Highmark upmc emergent facility · fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
21	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
22	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
23	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
24	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
25	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125

Page 1 of 2 · 40 rates

Last updated: Mar 6, 2026

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