Allograft membrn amnio 1x2cm hu ambriodry at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,869.00
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.
$3,115.00
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.
$444.54 with Aetna vs $4,988.30 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 |
|---|---|---|---|
| Aetna | Medicare | $444.54 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $778.75 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $1,027.95 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,053.80 | ↓ -44% |
| Aetna | Neighborhood Network | $1,080.90 | ↓ -42% |
| Aetna | Home Depot Employer Group | $1,174.36 | ↓ -37% |
| Aetna | EBR FI | $1,183.70 | ↓ -37% |
| Aetna | NBR ASO/FI | $1,199.28 | ↓ -36% |
| Cigna | New Business ASO | $1,199.28 | ↓ -36% |
| Aetna | EBR ASO | $1,246.00 | ↓ -33% |
| Cigna | Commercial | $1,246.00 | ↓ -33% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,557.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,557.50 | ↓ -17% |
| InterGroup | PPO | $1,557.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $1,650.95 | ↓ -12% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,650.95 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,682.10 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,682.10 | ↓ -10% |
| Cigna Behavioral Health | Commercial | $1,869.00 | ↑ +0% |
| Coventry/First Health | Commercial | $2,180.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $2,421.94 | ↑ +30% |
| Private Health Care Systems | PPO | $2,492.00 | ↑ +33% |
| SelectCare | Commercial | $2,492.00 | ↑ +33% |
| Humana | Commercial | $2,647.75 | ↑ +42% |
| UPMC Health Plan | Commercial | $4,988.30 | ↑ +167% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Allograft membrn amnio 1x2cm hu ambriodry at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $2,536.20 | $803.13 – $3,381.60 |
| UPMC Jameson | New Castle | $2,235.00 | $404.13 – $2,421.94 |
| UPMC Magee | Pittsburgh | $825.00 | $444.54 – $2,421.94 |
| UPMC Mercy | Pittsburgh | $2,715.00 | $1,912.47 – $1,912.47 |
| UPMC Passavant-McCandless | Pittsburgh | $825.60 | $3,514.54 – $3,514.54 |
| UPMC Presbyterian | Pittsburgh | $3,928.80 | $3,915.85 – $3,915.85 |
| UPMC St. Margaret | Pittsburgh | $9,430.20 | $2,971.90 – $2,971.90 |