Angioplasty fem/pop unilat 37224 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$21,906.60
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.
$36,511.00
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.
$5,038.37 with UPMC Health Plan vs $34,791.57 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 | $5,038.37 | ↓ -77% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5,575.96 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $5,603.34 | ↓ -74% |
| Aetna of PA | Medicare | $5,707.51 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,870.58 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $5,870.58 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,870.58 | ↓ -73% |
| Aetna | Medicare | $5,979.29 | ↓ -73% |
| UPMC Health Plan | Commercial | $6,632.12 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6,890.60 | ↓ -69% |
| UPMC Health Plan | CHIP | $12,178.60 | ↓ -44% |
| Aetna | Neighborhood Network | $12,669.32 | ↓ -42% |
| Aetna | Home Depot Employer Group | $13,764.65 | ↓ -37% |
| Aetna | EBR FI | $13,874.18 | ↓ -37% |
| Aetna | NBR ASO/FI | $14,056.74 | ↓ -36% |
| Cigna | New Business ASO | $14,056.74 | ↓ -36% |
| Highmark BCBS of PA | Managed Care - Social Mission | $14,421.98 | ↓ -34% |
| Aetna | EBR ASO | $14,604.40 | ↓ -33% |
| Cigna | Commercial | $14,604.40 | ↓ -33% |
| InterGroup | PPO | $18,255.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $19,314.62 | ↓ -12% |
| PA Health & Wellness | PA Medicaid HMO | $20,081.05 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $21,906.60 | ↑ +0% |
| Coventry/First Health | Commercial | $25,557.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $25,977.92 | ↑ +19% |
| SelectCare | Commercial | $29,208.80 | ↑ +33% |
| Private Health Care Systems | PPO | $29,208.80 | ↑ +33% |
| Humana | Commercial | $31,034.35 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $34,791.57 | ↑ +59% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Angioplasty fem/pop unilat 37224 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $15,494.40 | $5,543.35 – $20,659.20 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $28,574.40 | $5,450.40 – $38,099.20 |
| UPMC Hamot | Erie | $14,400.60 | $424.06 – $7,905.86 |
| UPMC Northwest | Seneca | $21,742.80 | $4,929.65 – $5,870.58 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $12,178.60 |
| UPMC Jameson | New Castle | $8,013.00 | $892.40 – $7,338.22 |