Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,745.40
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.
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What you pay up front if you don't use insurance.
$2,909.00
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.
$69.65 with United Healthcare Community Plan for Families vs $2,946.91 with PA Health & Wellness — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $69.65 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $69.65 | ↓ -96% |
| Aetna | Medicare | $74.56 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $93.90 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $98.85 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $106.44 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $107.91 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $213.06 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $222.77 | ↓ -87% |
| Highmark BCBS of PA | Managed Care | $298.34 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $401.27 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Indemnity | $537.40 | ↓ -69% |
| Aetna | Neighborhood Network | $1,009.42 | ↓ -42% |
| Aetna | Home Depot Employer Group | $1,096.69 | ↓ -37% |
| Aetna | EBR FI | $1,105.42 | ↓ -37% |
| Aetna | NBR ASO/FI | $1,119.96 | ↓ -36% |
| Cigna | New Business ASO | $1,119.96 | ↓ -36% |
| UPMC Health Plan | Commercial | $1,160.19 | ↓ -34% |
| Aetna | EBR ASO | $1,163.60 | ↓ -33% |
| Cigna | Commercial | $1,163.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,454.50 | ↓ -17% |
| InterGroup | PPO | $1,454.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $1,745.40 | ↑ +0% |
| Coventry/First Health | Commercial | $2,036.30 | ↑ +17% |
| UPMC Health Plan | CHIP | $2,130.46 | ↑ +22% |
| Private Health Care Systems | PPO | $2,327.20 | ↑ +33% |
| SelectCare | Commercial | $2,327.20 | ↑ +33% |
| Humana | Commercial | $2,472.65 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $2,529.16 | ↑ +45% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,799.02 | ↑ +60% |
| Aetna of PA | Medicare | $2,865.05 | ↑ +64% |
| AmeriHealth Caritas | Medicare | $2,946.91 | ↑ +69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,946.91 | ↑ +69% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,712.40 | $63.32 – $2,283.20 |
| UPMC Carlisle | Carlisle | $4,644.60 | $80.42 – $6,579.85 |
| UPMC Cole | Coudersport | $182.40 | $37.14 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $4,644.60 | $85.48 – $6,579.85 |
| UPMC East | Monroeville | $1,745.40 | $69.65 – $2,865.05 |
| UPMC Hamot | Erie | $1,745.40 | $69.65 – $3,968.58 |
| UPMC Northwest | Seneca | $1,176.60 | $69.65 – $2,865.05 |
| UPMC Hanover | Hanover | $4,644.60 | $80.42 – $4,374.59 |