Bln 30frx10mmx12cm renal nephromax at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,008.00
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.
$1,680.00
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.
$146.50 with Highmark Wholecare (prev Gateway) vs $2,613.93 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $146.50 | ↓ -85% |
| Aetna | Medicare | $146.50 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $193.38 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $198.24 | ↓ -80% |
| Aetna | Neighborhood Network | $203.34 | ↓ -80% |
| Aetna | Home Depot Employer Group | $220.92 | ↓ -78% |
| Aetna | EBR FI | $222.68 | ↓ -78% |
| Aetna | NBR ASO/FI | $225.61 | ↓ -78% |
| Cigna | New Business ASO | $225.61 | ↓ -78% |
| Aetna | EBR ASO | $234.40 | ↓ -77% |
| Cigna | Commercial | $234.40 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $293.00 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $293.00 | ↓ -71% |
| InterGroup | PPO | $293.00 | ↓ -71% |
| Highmark BCBS of PA | Managed Care | $310.58 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $310.58 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity | $316.44 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $316.44 | ↓ -69% |
| Cigna Behavioral Health | Commercial | $351.60 | ↓ -65% |
| Coventry/First Health | Commercial | $410.20 | ↓ -59% |
| SelectCare | Commercial | $468.80 | ↓ -53% |
| Private Health Care Systems | PPO | $468.80 | ↓ -53% |
| Humana | Commercial | $498.10 | ↓ -51% |
| UPMC Health Plan | CHIP | $1,269.13 | ↑ +26% |
| UPMC Health Plan | Commercial | $2,613.93 | ↑ +159% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Bln 30frx10mmx12cm renal nephromax at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,791.60 | $139.00 – $1,269.13 |
| UPMC Bedford | Everett | $5,428.20 | $80.25 – $1,269.13 |
| UPMC Cole | Coudersport | $304.20 | $140.54 – $405.60 |
| UPMC Community Osteopathic | Harrisburg | $661.80 | $187.80 – $1,269.13 |
| UPMC East | Monroeville | $1,377.60 | $65.25 – $1,269.13 |
| UPMC Northwest | Seneca | $752.40 | $1,535.76 – $1,535.76 |
| UPMC Horizon-Greenville | Greenville | $6,237.00 | $1,269.13 – $1,269.13 |
| UPMC Jameson | New Castle | $5,752.20 | $396.80 – $1,269.13 |