Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,688.00
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.
$4,480.00
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.
$203.45 with UPMC Work Partners vs $3,808.00 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $203.45 | ↓ -92% |
| UPMC Health Plan | Commercial | $453.24 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $545.27 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,141.25 | ↓ -58% |
| UPMC Health Plan | CHIP | $1,263.25 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $1,528.42 | ↓ -43% |
| Aetna | Neighborhood Network | $1,554.56 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $1,616.47 | ↓ -40% |
| Aetna | Home Depot Employer Group | $1,688.96 | ↓ -37% |
| Aetna | EBR FI | $1,702.40 | ↓ -37% |
| Cigna | New Business ASO | $1,724.80 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,724.80 | ↓ -36% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,788.94 | ↓ -33% |
| Aetna | EBR ASO | $1,792.00 | ↓ -33% |
| Cigna | Commercial | $1,792.00 | ↓ -33% |
| Aetna of PA | Medicare | $1,831.15 | ↓ -32% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,883.47 | ↓ -30% |
| AmeriHealth Caritas | Medicare | $1,883.47 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,883.47 | ↓ -30% |
| Aetna | Medicare | $1,918.35 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,055.71 | ↓ -24% |
| InterGroup | PPO | $2,240.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $2,464.00 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $2,688.00 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,753.16 | ↑ +2% |
| Coventry/First Health | Commercial | $3,136.00 | ↑ +17% |
| SelectCare | Commercial | $3,584.00 | ↑ +33% |
| Private Health Care Systems | PPO | $3,584.00 | ↑ +33% |
| Humana | Commercial | $3,808.00 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,352.40 | $203.45 – $1,883.47 |
| UPMC Bedford | Everett | $3,551.40 | $203.45 – $5,327.10 |
| UPMC Carlisle | Carlisle | $2,460.00 | $212.91 – $3,485.00 |
| UPMC Cole | Coudersport | $449.40 | $62.92 – $1,041.88 |
| UPMC Hamot | Erie | $2,805.60 | $203.45 – $2,536.45 |
| UPMC Northwest | Seneca | $3,460.20 | $203.45 – $1,401.85 |
| UPMC Hanover | Hanover | $2,460.00 | $212.91 – $2,795.94 |
| UPMC Horizon-Greenville | Greenville | $1,325.40 | $203.45 – $1,883.47 |