Brach/thor cath 2nd at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$6,741.00
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.
$11,235.00
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.
$125.95 with United Healthcare Community Plan for Families vs $9,549.75 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $125.95 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $125.95 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $169.80 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $178.75 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $195.13 | ↓ -97% |
| Aetna | Medicare | $315.36 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $795.09 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,646.97 | ↓ -76% |
| UPMC Health Plan | Commercial | $2,814.96 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,447.09 | ↓ -49% |
| Aetna | Neighborhood Network | $3,898.55 | ↓ -42% |
| Aetna | Home Depot Employer Group | $4,235.60 | ↓ -37% |
| Aetna | EBR FI | $4,269.30 | ↓ -37% |
| Cigna | New Business ASO | $4,325.48 | ↓ -36% |
| Aetna | NBR ASO/FI | $4,325.48 | ↓ -36% |
| Cigna | Commercial | $4,494.00 | ↓ -33% |
| Aetna | EBR ASO | $4,494.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $4,616.51 | ↓ -32% |
| UPMC Health Plan | CHIP | $5,169.14 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,617.50 | ↓ -17% |
| InterGroup | PPO | $5,617.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,209.15 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $6,741.00 | ↑ +0% |
| Coventry/First Health | Commercial | $7,864.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,315.75 | ↑ +23% |
| SelectCare | Commercial | $8,988.00 | ↑ +33% |
| Private Health Care Systems | PPO | $8,988.00 | ↑ +33% |
| Humana | Commercial | $9,549.75 | ↑ +42% |
Visitor-reported prices
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Brach/thor cath 2nd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,556.20 | $114.50 – $4,741.60 |
| UPMC Carlisle | Carlisle | $2,881.20 | $145.41 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $2,881.20 | $154.57 – $6,734.26 |
| UPMC Hamot | Erie | $6,970.80 | $125.95 – $1,631.43 |
| UPMC Northwest | Seneca | $10,167.00 | $125.95 – $4,234.19 |
| UPMC Hanover | Hanover | $2,881.20 | $145.41 – $1,016.56 |
| UPMC Lititz | Lititz | $2,881.20 | $145.41 – $1,016.56 |
| UPMC Magee | Pittsburgh | $7,978.80 | $125.95 – $1,646.97 |