Chemodenerv 1 extrem 5/> mus 64644 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$595.20
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.
$992.00
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.
$102.89 with UPMC Health Plan vs $2,080.34 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $102.89 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $102.89 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $115.82 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $138.72 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $146.03 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $159.41 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $218.50 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $242.41 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $324.64 | ↓ -45% |
| Aetna | Neighborhood Network | $344.22 | ↓ -42% |
| Aetna | Home Depot Employer Group | $373.98 | ↓ -37% |
| Aetna | EBR FI | $376.96 | ↓ -37% |
| Cigna | New Business ASO | $381.92 | ↓ -36% |
| Aetna | NBR ASO/FI | $381.92 | ↓ -36% |
| Aetna | EBR ASO | $396.80 | ↓ -33% |
| Cigna | Commercial | $396.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $436.64 | ↓ -27% |
| InterGroup | PPO | $496.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $584.78 | ↓ -2% |
| Cigna Behavioral Health | Commercial | $595.20 | ↑ +0% |
| UPMC Health Plan | Managed Medicare | $611.97 | ↑ +3% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $677.26 | ↑ +14% |
| Aetna of PA | Medicare | $693.24 | ↑ +16% |
| Coventry/First Health | Commercial | $694.40 | ↑ +17% |
| AmeriHealth Caritas | Medicare | $713.05 | ↑ +20% |
| Highmark Wholecare (prev Gateway) | Medicare | $713.05 | ↑ +20% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $713.05 | ↑ +20% |
| Aetna | Medicare | $726.25 | ↑ +22% |
| SelectCare | Commercial | $793.60 | ↑ +33% |
| Private Health Care Systems | PPO | $793.60 | ↑ +33% |
| Humana | Commercial | $843.20 | ↑ +42% |
| UPMC Health Plan | Commercial | $1,132.90 | ↑ +90% |
| UPMC Health Plan | CHIP | $2,080.34 | ↑ +250% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Chemodenerv 1 extrem 5/> mus 64644 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $147.00 | $30.21 – $218.50 |
| UPMC Horizon-Greenville | Greenville | $552.00 | $102.89 – $713.05 |
| UPMC Magee | Pittsburgh | $636.00 | $102.89 – $713.05 |
| UPMC Presbyterian | Pittsburgh | $872.40 | $102.89 – $931.20 |
| UPMC Williamsport | Williamsport | $723.00 | $102.89 – $993.28 |
| UPMC Mercy | Pittsburgh | not published | $102.89 – $726.25 |