Collar cerv patriot adlt at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$240.00
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.
$400.00
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.
$71.56 with Aetna vs $1,113.94 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 |
|---|---|---|---|
| Aetna | Medicare | $71.56 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $94.75 | ↓ -61% |
| Aetna | Neighborhood Network | $131.51 | ↓ -45% |
| Aetna | Home Depot Employer Group | $142.88 | ↓ -40% |
| Aetna | EBR FI | $144.02 | ↓ -40% |
| Cigna | New Business ASO | $145.91 | ↓ -39% |
| Aetna | NBR ASO/FI | $145.91 | ↓ -39% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $146.67 | ↓ -39% |
| Aetna | EBR ASO | $151.60 | ↓ -37% |
| Cigna | Commercial | $151.60 | ↓ -37% |
| InterGroup | PPO | $189.50 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $189.50 | ↓ -21% |
| UPMC Work Partners | Workers Comp | $207.45 | ↓ -14% |
| PA Health & Wellness | PA Medicaid HMO | $208.45 | ↓ -13% |
| Cigna Behavioral Health | Commercial | $227.40 | ↓ -5% |
| Coventry/First Health | Commercial | $265.30 | ↑ +11% |
| SelectCare | Commercial | $303.20 | ↑ +26% |
| Private Health Care Systems | PPO | $303.20 | ↑ +26% |
| Humana | Commercial | $322.15 | ↑ +34% |
| UPMC Health Plan | CHIP | $540.85 | ↑ +125% |
| Highmark BCBS of PA | Managed Care - Social Mission | $548.55 | ↑ +129% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $552.94 | ↑ +130% |
| Highmark BCBS of PA | Managed Care | $734.67 | ↑ +206% |
| Highmark BCBS of PA | Commercial - Indemnity | $740.54 | ↑ +209% |
| UPMC Health Plan | Commercial | $1,113.94 | ↑ +364% |
Visitor-reported prices
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Collar cerv patriot adlt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $117.00 | $97.50 – $540.85 |
| UPMC Bedford | Everett | $213.60 | $89.00 – $540.85 |
| UPMC Hamot | Erie | $306.00 | $145.28 – $207.45 |
| UPMC Northwest | Seneca | $316.80 | $207.45 – $654.47 |
| UPMC Horizon-Greenville | Greenville | $226.20 | $207.45 – $540.85 |
| UPMC Jameson | New Castle | $55.80 | $65.05 – $540.85 |
| UPMC Magee | Pittsburgh | $213.00 | $71.56 – $540.85 |
| UPMC Mercy | Pittsburgh | $227.40 | $145.28 – $427.08 |