Cardiac perf planar mult/ef/wm at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,699.20
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.
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What you pay up front if you don't use insurance.
$2,832.00
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.
$211.80 with Highmark BCBS of PA vs $2,407.20 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $211.80 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $272.88 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $326.24 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $326.24 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $439.83 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $443.30 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $462.99 | ↓ -73% |
| PA Health & Wellness | PA Medicaid HMO | $505.43 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $593.68 | ↓ -65% |
| UPMC Health Plan | Commercial | $785.24 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $798.50 | ↓ -53% |
| Aetna | Neighborhood Network | $982.70 | ↓ -42% |
| Aetna | Home Depot Employer Group | $1,067.66 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,069.41 | ↓ -37% |
| Aetna | EBR FI | $1,076.16 | ↓ -37% |
| Aetna | NBR ASO/FI | $1,090.32 | ↓ -36% |
| Cigna | New Business ASO | $1,090.32 | ↓ -36% |
| Aetna | EBR ASO | $1,132.80 | ↓ -33% |
| Cigna | Commercial | $1,132.80 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $1,153.64 | ↓ -32% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,276.73 | ↓ -25% |
| Aetna of PA | Medicare | $1,306.85 | ↓ -23% |
| AmeriHealth Caritas | Medicare | $1,344.19 | ↓ -21% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,344.19 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,344.19 | ↓ -21% |
| Aetna | Medicare | $1,369.08 | ↓ -19% |
| InterGroup | PPO | $1,416.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $1,699.20 | ↑ +0% |
| UPMC Health Plan | CHIP | $1,723.51 | ↑ +1% |
| Coventry/First Health | Commercial | $1,982.40 | ↑ +17% |
| Private Health Care Systems | PPO | $2,265.60 | ↑ +33% |
| SelectCare | Commercial | $2,265.60 | ↑ +33% |
| Humana | Commercial | $2,407.20 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cardiac perf planar mult/ef/wm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,242.60 | $285.57 – $6,010.35 |
| UPMC Community Osteopathic | Harrisburg | $4,242.60 | $64.80 – $1,723.51 |
| UPMC Hamot | Erie | $1,140.00 | $209.80 – $1,888.73 |
| UPMC Hanover | Hanover | $4,242.60 | $285.57 – $1,995.41 |
| UPMC Horizon-Greenville | Greenville | $1,711.20 | $272.88 – $1,344.19 |
| UPMC Lititz | Lititz | $4,242.60 | $285.57 – $2,006.18 |
| UPMC Memorial | York | $4,242.60 | $171.00 – $2,002.91 |
| UPMC Mercy | Pittsburgh | $1,692.60 | $209.80 – $1,369.08 |