Change of windpipe airway 31502 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$436.20
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.
$727.00
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.
$93.83 with Highmark BCBS of PA vs $617.95 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 | $93.83 | ↓ -78% |
| UPMC Health Plan | Commercial | $101.32 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $126.57 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $196.38 | ↓ -55% |
| UPMC Health Plan | Managed Medicare | $205.21 | ↓ -53% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $227.10 | ↓ -48% |
| Aetna of PA | Medicare | $232.46 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $239.10 | ↓ -45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $239.10 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $239.10 | ↓ -45% |
| Aetna | Medicare | $243.53 | ↓ -44% |
| Aetna | Neighborhood Network | $252.27 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $263.00 | ↓ -40% |
| Aetna | Home Depot Employer Group | $274.08 | ↓ -37% |
| Aetna | EBR FI | $276.26 | ↓ -37% |
| Cigna | New Business ASO | $279.89 | ↓ -36% |
| Aetna | NBR ASO/FI | $279.89 | ↓ -36% |
| UPMC Health Plan | CHIP | $282.41 | ↓ -35% |
| Aetna | EBR ASO | $290.80 | ↓ -33% |
| Cigna | Commercial | $290.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $353.73 | ↓ -19% |
| InterGroup | PPO | $363.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $399.85 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $436.20 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $473.74 | ↑ +9% |
| Coventry/First Health | Commercial | $508.90 | ↑ +17% |
| SelectCare | Commercial | $581.60 | ↑ +33% |
| Private Health Care Systems | PPO | $581.60 | ↑ +33% |
| Humana | Commercial | $617.95 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $454.20 | $92.94 – $605.60 |
| UPMC Carlisle | Carlisle | $463.80 | $105.90 – $657.05 |
| UPMC Cole | Coudersport | $220.20 | $10.53 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $463.80 | $124.62 – $657.05 |
| UPMC East | Monroeville | $319.20 | $93.83 – $425.60 |
| UPMC Hamot | Erie | $380.40 | $92.94 – $322.01 |
| UPMC Northwest | Seneca | $580.20 | $119.08 – $239.10 |
| UPMC Hanover | Hanover | $463.80 | $124.62 – $354.94 |