Autologous blood op salvage at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$231.60
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.
$386.00
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.
$45.64 with UPMC Health Plan vs $856.70 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $45.64 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $59.26 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $102.91 | ↓ -56% |
| Aetna | Neighborhood Network | $133.94 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $137.82 | ↓ -40% |
| Aetna | Home Depot Employer Group | $145.52 | ↓ -37% |
| Aetna | EBR FI | $146.68 | ↓ -37% |
| Aetna | NBR ASO/FI | $148.61 | ↓ -36% |
| Cigna | New Business ASO | $148.61 | ↓ -36% |
| Aetna | EBR ASO | $154.40 | ↓ -33% |
| Cigna | Commercial | $154.40 | ↓ -33% |
| UPMC Health Plan | CHIP | $161.62 | ↓ -30% |
| InterGroup | PPO | $193.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $212.30 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $223.41 | ↓ -4% |
| Cigna Behavioral Health | Commercial | $231.60 | ↑ +0% |
| Coventry/First Health | Commercial | $270.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $299.21 | ↑ +29% |
| SelectCare | Commercial | $308.80 | ↑ +33% |
| Private Health Care Systems | PPO | $308.80 | ↑ +33% |
| Humana | Commercial | $328.10 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $721.89 | ↑ +212% |
| Geisinger | Medicaid/CHIP | $778.82 | ↑ +236% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $798.91 | ↑ +245% |
| Aetna of PA | Medicare | $817.76 | ↑ +253% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $841.13 | ↑ +263% |
| AmeriHealth Caritas | Medicare | $841.13 | ↑ +263% |
| Highmark Wholecare (prev Gateway) | Medicare | $841.13 | ↑ +263% |
| Aetna | Medicare | $856.70 | ↑ +270% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Autologous blood op salvage at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $263.40 | $58.70 – $841.13 |
| UPMC Cole | Coudersport | $1,339.20 | $22.91 – $1,785.60 |
| UPMC East | Monroeville | $235.80 | $44.46 – $841.13 |
| UPMC Hamot | Erie | $311.40 | $17.96 – $970.76 |
| UPMC Horizon-Greenville | Greenville | $240.60 | $45.02 – $841.13 |
| UPMC Magee | Pittsburgh | $222.00 | $47.04 – $856.70 |
| UPMC Mercy | Pittsburgh | $254.40 | $44.59 – $856.70 |
| UPMC Muncy | Muncy | $222.60 | $606.30 – $606.30 |