Cath combo lt&rt heart w/inj/s at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$13,462.80
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.
$22,438.00
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.
$1,381.37 with Highmark BCBS of PA vs $19,072.30 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 | $1,381.37 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $1,645.71 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $2,842.30 | ↓ -79% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,145.57 | ↓ -77% |
| Aetna of PA | Medicare | $3,219.78 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,311.78 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,311.78 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $3,311.78 | ↓ -75% |
| Aetna | Medicare | $3,373.11 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,608.19 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $4,832.46 | ↓ -64% |
| UPMC Health Plan | CHIP | $4,908.51 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,207.82 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,974.71 | ↓ -48% |
| Aetna | Neighborhood Network | $7,785.99 | ↓ -42% |
| Aetna | Home Depot Employer Group | $8,459.13 | ↓ -37% |
| Aetna | EBR FI | $8,526.44 | ↓ -37% |
| Aetna | NBR ASO/FI | $8,638.63 | ↓ -36% |
| Cigna | New Business ASO | $8,638.63 | ↓ -36% |
| Cigna | Commercial | $8,975.20 | ↓ -33% |
| Aetna | EBR ASO | $8,975.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $10,109.69 | ↓ -25% |
| InterGroup | PPO | $11,219.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $12,340.90 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $13,462.80 | ↑ +0% |
| Coventry/First Health | Commercial | $15,706.60 | ↑ +17% |
| Private Health Care Systems | PPO | $17,950.40 | ↑ +33% |
| SelectCare | Commercial | $17,950.40 | ↑ +33% |
| Humana | Commercial | $19,072.30 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Cath combo lt&rt heart w/inj/s at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,891.60 | $1,368.34 – $13,188.80 |
| UPMC Carlisle | Carlisle | $8,719.20 | $1,016.56 – $12,352.20 |
| UPMC Community Osteopathic | Harrisburg | $8,719.20 | $1,016.56 – $12,352.20 |
| UPMC Hamot | Erie | $14,842.20 | $1,368.34 – $4,459.95 |
| UPMC Hanover | Hanover | $8,719.20 | $1,016.56 – $4,916.22 |
| UPMC Jameson | New Castle | $8,231.40 | $892.40 – $3,833.07 |
| UPMC Lititz | Lititz | $8,719.20 | $1,016.56 – $4,942.77 |
| UPMC Memorial | York | $8,719.20 | $1,016.56 – $4,934.75 |