Clsd tx iphal jnt disl w/manip req anes at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,703.20
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.
$6,172.00
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.
$234.69 with UPMC Health Plan vs $5,246.20 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 | Managed Medicare | $234.69 | ↓ -94% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $259.73 | ↓ -93% |
| Aetna of PA | Medicare | $265.86 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $273.46 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $273.46 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $273.46 | ↓ -93% |
| Aetna | Medicare | $278.52 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $450.44 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $844.93 | ↓ -77% |
| UPMC Health Plan | Commercial | $945.91 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,768.44 | ↓ -52% |
| Aetna | Neighborhood Network | $2,141.68 | ↓ -42% |
| Aetna | Home Depot Employer Group | $2,326.84 | ↓ -37% |
| Aetna | EBR FI | $2,345.36 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $2,368.38 | ↓ -36% |
| Cigna | New Business ASO | $2,376.22 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,376.22 | ↓ -36% |
| Cigna | Commercial | $2,468.80 | ↓ -33% |
| Aetna | EBR ASO | $2,468.80 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,636.42 | ↓ -29% |
| InterGroup | PPO | $3,086.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,185.44 | ↓ -14% |
| PA Health & Wellness | PA Medicaid HMO | $3,394.60 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $3,703.20 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,266.17 | ↑ +15% |
| Coventry/First Health | Commercial | $4,320.40 | ↑ +17% |
| SelectCare | Commercial | $4,937.60 | ↑ +33% |
| Private Health Care Systems | PPO | $4,937.60 | ↑ +33% |
| Humana | Commercial | $5,246.20 | ↑ +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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Clsd tx iphal jnt disl w/manip req anes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,187.60 | $258.21 – $6,916.80 |
| UPMC Cole | Coudersport | $1,941.60 | $275.26 – $1,041.88 |
| UPMC East | Monroeville | $4,387.20 | $253.88 – $5,849.60 |
| UPMC Hamot | Erie | $5,296.20 | $292.22 – $836.96 |
| UPMC Northwest | Seneca | $4,633.20 | $229.63 – $362.17 |
| UPMC Horizon-Greenville | Greenville | $4,038.00 | $226.69 – $475.13 |
| UPMC Jameson | New Castle | $3,680.40 | $253.20 – $892.40 |
| UPMC Magee | Pittsburgh | $3,759.00 | $236.97 – $844.93 |