Apheresis plasma at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$5,700.60
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.
$9,501.00
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.
$82.50 with United Healthcare Community Plan for Families vs $8,075.85 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $82.50 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $82.50 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $111.22 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $117.08 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $127.81 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $172.58 | ↓ -97% |
| UPMC Health Plan | Commercial | $720.28 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,233.76 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $1,448.61 | ↓ -75% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,603.18 | ↓ -72% |
| Aetna of PA | Medicare | $1,641.00 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,687.89 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,687.89 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $1,687.89 | ↓ -70% |
| Aetna | Medicare | $1,719.15 | ↓ -70% |
| UPMC Health Plan | CHIP | $2,007.54 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,582.25 | ↓ -55% |
| Aetna | Neighborhood Network | $3,296.85 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $3,458.28 | ↓ -39% |
| Aetna | Home Depot Employer Group | $3,581.88 | ↓ -37% |
| Aetna | EBR FI | $3,610.38 | ↓ -37% |
| Aetna | NBR ASO/FI | $3,657.89 | ↓ -36% |
| Cigna | New Business ASO | $3,657.89 | ↓ -36% |
| Aetna | EBR ASO | $3,800.40 | ↓ -33% |
| Cigna | Commercial | $3,800.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,651.34 | ↓ -18% |
| InterGroup | PPO | $4,750.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $5,700.60 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,229.43 | ↑ +9% |
| Coventry/First Health | Commercial | $6,650.70 | ↑ +17% |
| SelectCare | Commercial | $7,600.80 | ↑ +33% |
| Private Health Care Systems | PPO | $7,600.80 | ↑ +33% |
| Humana | Commercial | $8,075.85 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Apheresis plasma at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,918.40 | $75.00 – $3,891.20 |
| UPMC Community Osteopathic | Harrisburg | $5,519.40 | $98.25 – $7,819.15 |
| UPMC Hamot | Erie | $4,172.40 | $82.50 – $1,965.08 |
| UPMC Magee | Pittsburgh | $4,390.20 | $82.50 – $1,687.89 |
| UPMC Mercy | Pittsburgh | $4,792.80 | $82.50 – $1,719.15 |
| UPMC Passavant-McCandless | Pittsburgh | $3,486.60 | $82.50 – $1,719.15 |
| UPMC Presbyterian | Pittsburgh | $28,527.60 | $82.50 – $1,719.15 |
| UPMC Somerset | Somerset | $5,519.40 | $82.50 – $1,562.86 |