Assay of somatostatin at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$165.60
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.
$276.00
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.
$16.94 with UPMC Health Plan vs $234.60 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 Health Plan | Managed Medicare | $16.94 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $18.07 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $18.28 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $18.75 | ↓ -89% |
| Aetna of PA | Medicare | $19.19 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.74 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.74 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $19.74 | ↓ -88% |
| Aetna | Medicare | $20.11 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $25.72 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $25.72 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.67 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.50 | ↓ -78% |
| UPMC Health Plan | Commercial | $39.36 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $39.84 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $45.34 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $78.73 | ↓ -52% |
| Aetna | Neighborhood Network | $95.77 | ↓ -42% |
| Aetna | Home Depot Employer Group | $104.05 | ↓ -37% |
| Aetna | EBR FI | $104.88 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $105.44 | ↓ -36% |
| Cigna | New Business ASO | $106.26 | ↓ -36% |
| Aetna | NBR ASO/FI | $106.26 | ↓ -36% |
| Cigna | Commercial | $110.40 | ↓ -33% |
| Aetna | EBR ASO | $110.40 | ↓ -33% |
| InterGroup | PPO | $138.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $139.38 | ↓ -16% |
| Cigna Behavioral Health | Commercial | $165.60 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $170.92 | ↑ +3% |
| Coventry/First Health | Commercial | $193.20 | ↑ +17% |
| Private Health Care Systems | PPO | $220.80 | ↑ +33% |
| SelectCare | Commercial | $220.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $228.91 | ↑ +38% |
| Humana | Commercial | $234.60 | ↑ +42% |
Visitor-reported prices
Comments
Assay of somatostatin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $235.20 | $18.07 – $313.60 |
| UPMC Bedford | Everett | $276.00 | $6.60 – $414.00 |
| UPMC East | Monroeville | $291.00 | $18.07 – $388.00 |
| UPMC Hamot | Erie | $252.00 | $18.07 – $44.91 |
| UPMC Northwest | Seneca | $153.00 | $16.58 – $26.89 |
| UPMC Horizon-Greenville | Greenville | $231.60 | $16.37 – $34.30 |
| UPMC Jameson | New Castle | $232.20 | $18.07 – $45.70 |
| UPMC Magee | Pittsburgh | $165.00 | $17.11 – $45.34 |