Bundled special stain group 2 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$85.20
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.
$142.00
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.
$6.31 with Highmark BCBS of PA vs $135.18 with Aetna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.31 | ↓ -93% |
| UPMC Health Plan | Commercial | $6.63 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10.95 | ↓ -87% |
| Highmark BCBS of PA | Managed Care | $14.66 | ↓ -83% |
| UPMC Health Plan | CHIP | $23.46 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $23.77 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity | $31.83 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $41.44 | ↓ -51% |
| Aetna | Neighborhood Network | $49.27 | ↓ -42% |
| Aetna | Home Depot Employer Group | $53.53 | ↓ -37% |
| Aetna | EBR FI | $53.96 | ↓ -37% |
| Cigna | New Business ASO | $54.67 | ↓ -36% |
| Aetna | NBR ASO/FI | $54.67 | ↓ -36% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $56.11 | ↓ -34% |
| UPMC Health Plan | Managed Medicaid | $56.11 | ↓ -34% |
| Aetna | EBR ASO | $56.80 | ↓ -33% |
| Cigna | Commercial | $56.80 | ↓ -33% |
| InterGroup | PPO | $71.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.65 | ↓ -11% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.63 | ↓ -7% |
| Cigna Behavioral Health | Commercial | $85.20 | ↑ +0% |
| PA Health & Wellness | PA Medicaid HMO | $86.93 | ↑ +2% |
| Coventry/First Health | Commercial | $99.40 | ↑ +17% |
| Private Health Care Systems | PPO | $113.60 | ↑ +33% |
| SelectCare | Commercial | $113.60 | ↑ +33% |
| UPMC Health Plan | Managed Medicare | $113.91 | ↑ +34% |
| Humana | Commercial | $120.70 | ↑ +42% |
| Geisinger | Medicaid/CHIP | $122.89 | ↑ +44% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $126.06 | ↑ +48% |
| Aetna of PA | Medicare | $129.03 | ↑ +51% |
| AmeriHealth Caritas | Medicare | $132.72 | ↑ +56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.72 | ↑ +56% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.72 | ↑ +56% |
| Aetna | Medicare | $135.18 | ↑ +59% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $139.20 | $6.25 – $185.60 |
| UPMC Bedford | Everett | $49.80 | $6.54 – $86.93 |
| UPMC Carlisle | Carlisle | $78.60 | $17.95 – $197.30 |
| UPMC Cole | Coudersport | $180.60 | $23.46 – $240.80 |
| UPMC Community Osteopathic | Harrisburg | $78.60 | $13.60 – $135.68 |
| UPMC East | Monroeville | $48.00 | $6.31 – $129.03 |
| UPMC Hamot | Erie | $147.60 | $6.25 – $153.18 |
| UPMC Northwest | Seneca | $67.20 | $6.51 – $129.03 |