Abd/low ext cath 1st at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,582.00
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.
$5,970.00
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.
$274.83 with Aetna vs $5,074.50 with Humana — 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 |
|---|---|---|---|
| Aetna | Medicare | $274.83 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $763.10 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $844.93 | ↓ -76% |
| UPMC Health Plan | Commercial | $1,446.55 | ↓ -60% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,768.44 | ↓ -51% |
| Aetna | Neighborhood Network | $2,071.59 | ↓ -42% |
| Aetna | Home Depot Employer Group | $2,250.69 | ↓ -37% |
| Aetna | EBR FI | $2,268.60 | ↓ -37% |
| Cigna | New Business ASO | $2,298.45 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,298.45 | ↓ -36% |
| Highmark BCBS of PA | Managed Care | $2,368.38 | ↓ -34% |
| Cigna | Commercial | $2,388.00 | ↓ -33% |
| Aetna | EBR ASO | $2,388.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,656.30 | ↓ -26% |
| InterGroup | PPO | $2,985.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,985.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,185.44 | ↓ -11% |
| PA Health & Wellness | PA Medicaid HMO | $3,283.50 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $3,582.00 | ↑ +0% |
| Coventry/First Health | Commercial | $4,179.00 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,266.17 | ↑ +19% |
| Private Health Care Systems | PPO | $4,776.00 | ↑ +33% |
| SelectCare | Commercial | $4,776.00 | ↑ +33% |
| Humana | Commercial | $5,074.50 | ↑ +42% |
Visitor-reported prices
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Abd/low ext cath 1st at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,824.00 | $717.91 – $2,656.30 |
| UPMC Carlisle | Carlisle | $4,321.20 | $751.30 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,321.20 | $760.24 – $6,121.70 |
| UPMC East | Monroeville | $3,504.60 | $763.10 – $4,672.80 |
| UPMC Hamot | Erie | $3,583.20 | $763.10 – $3,297.90 |
| UPMC Northwest | Seneca | $5,015.40 | $726.45 – $2,172.24 |
| UPMC Hanover | Hanover | $4,321.20 | $760.24 – $2,656.30 |
| UPMC Jameson | New Castle | $949.20 | $249.85 – $2,656.30 |