Asp & inj w/heparin pleurx cath at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$97.80
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.
$163.00
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.
$18.77 with Highmark BCBS of PA vs $648.38 with Aetna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | ↓ -81% |
| UPMC Health Plan | Commercial | $35.71 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $39.27 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $52.60 | ↓ -46% |
| Aetna | Neighborhood Network | $56.56 | ↓ -42% |
| Aetna | Home Depot Employer Group | $61.45 | ↓ -37% |
| Aetna | EBR FI | $61.94 | ↓ -37% |
| Aetna | NBR ASO/FI | $62.76 | ↓ -36% |
| Cigna | New Business ASO | $62.76 | ↓ -36% |
| Aetna | EBR ASO | $65.20 | ↓ -33% |
| Cigna | Commercial | $65.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $65.58 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $70.75 | ↓ -28% |
| InterGroup | PPO | $81.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $89.65 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $94.75 | ↓ -3% |
| Cigna Behavioral Health | Commercial | $97.80 | ↑ +0% |
| Coventry/First Health | Commercial | $114.10 | ↑ +17% |
| Private Health Care Systems | PPO | $130.40 | ↑ +33% |
| SelectCare | Commercial | $130.40 | ↑ +33% |
| Humana | Commercial | $138.55 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $546.35 | ↑ +459% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $604.65 | ↑ +518% |
| Aetna of PA | Medicare | $618.91 | ↑ +533% |
| Highmark Wholecare (prev Gateway) | Medicare | $636.60 | ↑ +551% |
| AmeriHealth Caritas | Medicare | $636.60 | ↑ +551% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $636.60 | ↑ +551% |
| Aetna | Medicare | $648.38 | ↑ +563% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Asp & inj w/heparin pleurx cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $116.40 | $48.49 – $636.60 |
| UPMC Carlisle | Carlisle | $1,434.00 | $65.58 – $2,031.50 |
| UPMC Community Osteopathic | Harrisburg | $1,434.00 | $65.58 – $2,031.50 |
| UPMC East | Monroeville | $96.60 | $18.77 – $636.60 |
| UPMC Hanover | Hanover | $1,434.00 | $65.58 – $944.99 |
| UPMC Lititz | Lititz | $1,434.00 | $65.58 – $950.10 |
| UPMC Memorial | York | $1,434.00 | $15.15 – $948.56 |
| UPMC Passavant-McCandless | Pittsburgh | $98.40 | $18.77 – $648.38 |