Change ureter stent percut at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$14,328.60
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.
$23,881.00
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.
$965.12 with UPMC Health Plan vs $20,298.85 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $965.12 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $1,810.24 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,003.40 | ↓ -86% |
| Aetna of PA | Medicare | $2,050.66 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,109.25 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,109.25 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $2,109.25 | ↓ -85% |
| Aetna | Medicare | $2,148.31 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $2,444.97 | ↓ -83% |
| UPMC Health Plan | CHIP | $2,689.96 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,733.97 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,722.17 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $7,663.41 | ↓ -47% |
| Aetna | Neighborhood Network | $8,286.71 | ↓ -42% |
| Aetna | Home Depot Employer Group | $9,003.14 | ↓ -37% |
| Aetna | EBR FI | $9,074.78 | ↓ -37% |
| Aetna | NBR ASO/FI | $9,194.18 | ↓ -36% |
| Cigna | New Business ASO | $9,194.18 | ↓ -36% |
| Aetna | EBR ASO | $9,552.40 | ↓ -33% |
| Cigna | Commercial | $9,552.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,307.19 | ↓ -28% |
| InterGroup | PPO | $11,940.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $13,134.55 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $13,804.16 | ↓ -4% |
| Cigna Behavioral Health | Commercial | $14,328.60 | ↑ +0% |
| Coventry/First Health | Commercial | $16,716.70 | ↑ +17% |
| SelectCare | Commercial | $19,104.80 | ↑ +33% |
| Private Health Care Systems | PPO | $19,104.80 | ↑ +33% |
| Humana | Commercial | $20,298.85 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Change ureter stent percut at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,696.80 | $1,016.56 – $6,653.80 |
| UPMC Community Osteopathic | Harrisburg | $4,696.80 | $1,016.56 – $6,653.80 |
| UPMC Hamot | Erie | $14,870.40 | $2,254.02 – $2,840.52 |
| UPMC Hanover | Hanover | $4,696.80 | $1,016.56 – $3,131.10 |
| UPMC Lititz | Lititz | $4,696.80 | $1,016.56 – $3,148.02 |
| UPMC Magee | Pittsburgh | $11,472.00 | $1,665.47 – $2,733.97 |
| UPMC Memorial | York | $4,696.80 | $1,016.56 – $3,142.91 |
| UPMC Presbyterian | Pittsburgh | $11,414.40 | $931.20 – $3,405.13 |