App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,798.60
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.
?
What you pay up front if you don't use insurance.
$6,331.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$425.04 with UPMC Work Partners vs $5,381.35 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Work Partners | Workers Comp | $425.04 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $790.16 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $1,616.47 | ↓ -57% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,653.79 | ↓ -56% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,788.94 | ↓ -53% |
| Aetna of PA | Medicare | $1,831.15 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,883.47 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,883.47 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $1,883.47 | ↓ -50% |
| Aetna | Medicare | $1,918.35 | ↓ -49% |
| Aetna | Neighborhood Network | $2,196.86 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $2,214.84 | ↓ -42% |
| UPMC Health Plan | CHIP | $2,215.85 | ↓ -42% |
| Aetna | Home Depot Employer Group | $2,386.79 | ↓ -37% |
| Aetna | EBR FI | $2,405.78 | ↓ -37% |
| Cigna | New Business ASO | $2,437.43 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,437.43 | ↓ -36% |
| Aetna | EBR ASO | $2,532.40 | ↓ -33% |
| Cigna | Commercial | $2,532.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,978.93 | ↓ -22% |
| InterGroup | PPO | $3,165.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $3,482.05 | ↓ -8% |
| UPMC Health Plan | Commercial | $3,557.39 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $3,798.60 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,989.61 | ↑ +5% |
| Coventry/First Health | Commercial | $4,431.70 | ↑ +17% |
| Private Health Care Systems | PPO | $5,064.80 | ↑ +33% |
| SelectCare | Commercial | $5,064.80 | ↑ +33% |
| Humana | Commercial | $5,381.35 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,895.60 | $444.81 – $4,102.10 |
| UPMC Cole | Coudersport | $331.80 | $153.29 – $1,041.88 |
| UPMC Hamot | Erie | $4,338.60 | $425.04 – $2,536.45 |
| UPMC Hanover | Hanover | $2,895.60 | $444.81 – $2,795.94 |
| UPMC Lititz | Lititz | $2,895.60 | $444.81 – $2,811.04 |
| UPMC St. Margaret | Pittsburgh | $4,381.80 | $425.04 – $790.16 |
| UPMC Wellsboro | Wellsboro | $2,148.00 | $425.04 – $993.28 |
| Uniontown Hospital | Uniontown | $2,371.50 | $205.80 – $4,153.69 |