Assay of fluoride at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$191.40
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.
$319.00
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.
$8.80 with United Healthcare Community Plan for Families vs $271.15 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $8.80 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $8.80 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.86 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.49 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $13.63 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $17.18 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $18.33 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $18.54 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $19.02 | ↓ -90% |
| Aetna of PA | Medicare | $19.47 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $20.02 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.02 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.02 | ↓ -90% |
| Aetna | Medicare | $20.39 | ↓ -89% |
| UPMC Health Plan | Commercial | $43.50 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $50.87 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $88.34 | ↓ -54% |
| Aetna | Neighborhood Network | $110.69 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $118.31 | ↓ -38% |
| Aetna | Home Depot Employer Group | $120.26 | ↓ -37% |
| Aetna | EBR FI | $121.22 | ↓ -37% |
| Cigna | New Business ASO | $122.81 | ↓ -36% |
| Aetna | NBR ASO/FI | $122.81 | ↓ -36% |
| Aetna | EBR ASO | $127.60 | ↓ -33% |
| Cigna | Commercial | $127.60 | ↓ -33% |
| UPMC Health Plan | CHIP | $154.06 | ↓ -20% |
| InterGroup | PPO | $159.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $191.40 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $191.79 | ↑ +0% |
| Coventry/First Health | Commercial | $223.30 | ↑ +17% |
| Private Health Care Systems | PPO | $255.20 | ↑ +33% |
| SelectCare | Commercial | $255.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $256.86 | ↑ +34% |
| Humana | Commercial | $271.15 | ↑ +42% |
Visitor-reported prices
Comments
Assay of fluoride at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $227.40 | $8.00 – $303.20 |
| UPMC Bedford | Everett | $337.20 | $6.69 – $505.80 |
| UPMC Cole | Coudersport | $118.80 | $8.40 – $158.40 |
| UPMC East | Monroeville | $217.80 | $8.00 – $290.40 |
| UPMC Hamot | Erie | $289.80 | $8.00 – $50.39 |
| UPMC Northwest | Seneca | $317.40 | $8.80 – $19.47 |
| UPMC Horizon-Greenville | Greenville | $112.80 | $8.00 – $34.79 |
| UPMC Jameson | New Castle | $112.80 | $8.80 – $51.28 |