Biopsy bone trocar/needle superficial at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,412.60
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.
?
What you pay up front if you don't use insurance.
$4,021.00
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.
$69.30 with United Healthcare Community Plan for Families vs $3,417.85 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 | $69.30 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $69.30 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $93.43 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $98.35 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $107.36 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $269.67 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $550.23 | ↓ -77% |
| UPMC Health Plan | Commercial | $615.18 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,151.62 | ↓ -52% |
| Aetna | Neighborhood Network | $1,395.29 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $1,431.78 | ↓ -41% |
| Aetna | Home Depot Employer Group | $1,515.92 | ↓ -37% |
| Aetna | EBR FI | $1,527.98 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $1,542.31 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,548.09 | ↓ -36% |
| Cigna | New Business ASO | $1,548.09 | ↓ -36% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,584.55 | ↓ -34% |
| Aetna | EBR ASO | $1,608.40 | ↓ -33% |
| Cigna | Commercial | $1,608.40 | ↓ -33% |
| Aetna of PA | Medicare | $1,621.93 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,668.28 | ↓ -31% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,668.28 | ↓ -31% |
| AmeriHealth Caritas | Medicare | $1,668.28 | ↓ -31% |
| Aetna | Medicare | $1,699.17 | ↓ -30% |
| UPMC Health Plan | CHIP | $1,714.61 | ↓ -29% |
| InterGroup | PPO | $2,010.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,074.38 | ↓ -14% |
| Cigna Behavioral Health | Commercial | $2,412.60 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,778.17 | ↑ +15% |
| Coventry/First Health | Commercial | $2,814.70 | ↑ +17% |
| SelectCare | Commercial | $3,216.80 | ↑ +33% |
| Private Health Care Systems | PPO | $3,216.80 | ↑ +33% |
| Humana | Commercial | $3,417.85 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy bone trocar/needle superficial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,603.20 | $63.00 – $2,137.60 |
| UPMC Carlisle | Carlisle | $2,461.20 | $80.01 – $3,486.70 |
| UPMC Cole | Coudersport | $525.60 | $66.15 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,461.20 | $85.05 – $3,486.70 |
| UPMC East | Monroeville | $2,281.20 | $69.30 – $3,041.60 |
| UPMC Hamot | Erie | $2,313.60 | $69.30 – $2,246.66 |
| UPMC Northwest | Seneca | $2,094.00 | $69.30 – $1,621.93 |
| UPMC Hanover | Hanover | $2,461.20 | $80.01 – $2,476.51 |