Chemodenerv 1 extremity 1-4 64642 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$522.60
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.
$871.00
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.
$94.27 with UPMC Health Plan vs $1,324.34 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 | $94.27 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $94.27 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $101.63 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $127.09 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $133.79 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $146.05 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $191.73 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $212.71 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $284.88 | ↓ -45% |
| Aetna | Neighborhood Network | $302.24 | ↓ -42% |
| Aetna | Home Depot Employer Group | $328.37 | ↓ -37% |
| Aetna | EBR FI | $330.98 | ↓ -37% |
| Cigna | New Business ASO | $335.33 | ↓ -36% |
| Aetna | NBR ASO/FI | $335.33 | ↓ -36% |
| Aetna | EBR ASO | $348.40 | ↓ -33% |
| Cigna | Commercial | $348.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $383.15 | ↓ -27% |
| InterGroup | PPO | $435.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $513.15 | ↓ -2% |
| Cigna Behavioral Health | Commercial | $522.60 | ↑ +0% |
| Coventry/First Health | Commercial | $609.70 | ↑ +17% |
| UPMC Health Plan | Managed Medicare | $611.97 | ↑ +17% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $677.26 | ↑ +30% |
| Aetna of PA | Medicare | $693.24 | ↑ +33% |
| SelectCare | Commercial | $696.80 | ↑ +33% |
| Private Health Care Systems | PPO | $696.80 | ↑ +33% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $713.05 | ↑ +36% |
| AmeriHealth Caritas | Medicare | $713.05 | ↑ +36% |
| Highmark Wholecare (prev Gateway) | Medicare | $713.05 | ↑ +36% |
| UPMC Health Plan | Commercial | $721.20 | ↑ +38% |
| Aetna | Medicare | $726.25 | ↑ +39% |
| Humana | Commercial | $740.35 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,324.34 | ↑ +153% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Chemodenerv 1 extremity 1-4 64642 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $134.40 | $27.72 – $191.73 |
| UPMC Horizon-Greenville | Greenville | $483.60 | $94.27 – $713.05 |
| UPMC Jameson | New Castle | $483.60 | $94.27 – $892.40 |
| UPMC Magee | Pittsburgh | $558.60 | $94.27 – $713.05 |
| UPMC Williamsport | Williamsport | $647.40 | $94.27 – $993.28 |
| UPMC Mercy | Pittsburgh | not published | $94.27 – $726.25 |