Cath acuity innr ic130 6f 63cm at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,679.00
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.
$4,465.00
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.
$6.75 with Aetna vs $489.15 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 |
|---|---|---|---|
| Aetna | Medicare | $6.75 | ↓ -100% |
| Aetna | Neighborhood Network | $9.37 | ↓ -100% |
| Aetna | Home Depot Employer Group | $10.18 | ↓ -100% |
| Aetna | EBR FI | $10.26 | ↓ -100% |
| Cigna | New Business ASO | $10.39 | ↓ -100% |
| Aetna | NBR ASO/FI | $10.39 | ↓ -100% |
| Aetna | EBR ASO | $10.80 | ↓ -100% |
| Cigna | Commercial | $10.80 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.50 | ↓ -99% |
| InterGroup | PPO | $13.50 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $14.85 | ↓ -99% |
| Cigna Behavioral Health | Commercial | $16.20 | ↓ -99% |
| Coventry/First Health | Commercial | $18.90 | ↓ -99% |
| Private Health Care Systems | PPO | $21.60 | ↓ -99% |
| SelectCare | Commercial | $21.60 | ↓ -99% |
| Humana | Commercial | $22.95 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $78.64 | ↓ -97% |
| UPMC Health Plan | CHIP | $237.50 | ↓ -91% |
| Highmark BCBS of PA | Managed Care - Social Mission | $294.14 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $296.49 | ↓ -89% |
| Highmark BCBS of PA | Managed Care | $393.94 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Indemnity | $397.08 | ↓ -85% |
| UPMC Health Plan | Commercial | $489.15 | ↓ -82% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath acuity innr ic130 6f 63cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $19,131.60 | $9.31 – $237.50 |
| UPMC Carlisle | Carlisle | $982.80 | $224.41 – $1,392.30 |
| UPMC Community Osteopathic | Harrisburg | $5,546.40 | $62.20 – $410.06 |
| UPMC East | Monroeville | $2,401.80 | $8.75 – $237.50 |
| UPMC Hamot | Erie | $23,598.00 | $77.90 – $77.90 |
| UPMC Northwest | Seneca | $1,338.60 | $202.19 – $287.39 |
| UPMC Hanover | Hanover | $982.80 | $237.50 – $237.50 |
| UPMC Horizon-Greenville | Greenville | $2,545.80 | $198.54 – $237.50 |