Collection blood specimen from completely implantable venous access device at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$194.40
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.
$324.00
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.
$30.48 with Aetna vs $260.10 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 |
|---|---|---|---|
| Aetna | Medicare | $30.48 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $31.08 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $35.95 | ↓ -82% |
| UPMC Health Plan | Commercial | $65.87 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $75.25 | ↓ -61% |
| Highmark BCBS of PA | Managed Care | $100.78 | ↓ -48% |
| Aetna | Neighborhood Network | $106.18 | ↓ -45% |
| UPMC Health Plan | Managed Medicare | $113.91 | ↓ -41% |
| Aetna | Home Depot Employer Group | $115.36 | ↓ -41% |
| Aetna | EBR FI | $116.28 | ↓ -40% |
| Cigna | New Business ASO | $117.81 | ↓ -39% |
| Aetna | NBR ASO/FI | $117.81 | ↓ -39% |
| UPMC Health Plan | CHIP | $120.96 | ↓ -38% |
| Aetna | EBR ASO | $122.40 | ↓ -37% |
| Cigna | Commercial | $122.40 | ↓ -37% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $126.06 | ↓ -35% |
| Aetna of PA | Medicare | $129.03 | ↓ -34% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.72 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.72 | ↓ -32% |
| AmeriHealth Caritas | Medicare | $132.72 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $135.55 | ↓ -30% |
| InterGroup | PPO | $153.00 | ↓ -21% |
| PA Health & Wellness | PA Medicaid HMO | $168.30 | ↓ -13% |
| Highmark BCBS of PA | Commercial - Indemnity | $181.54 | ↓ -7% |
| Cigna Behavioral Health | Commercial | $183.60 | ↓ -6% |
| Coventry/First Health | Commercial | $214.20 | ↑ +10% |
| SelectCare | Commercial | $244.80 | ↑ +26% |
| Private Health Care Systems | PPO | $244.80 | ↑ +26% |
| Humana | Commercial | $260.10 | ↑ +34% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Collection blood specimen from completely implantable venous access device at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $50.40 | $31.08 – $132.72 |
| UPMC Bedford | Everett | $189.00 | $31.08 – $283.50 |
| UPMC Carlisle | Carlisle | $155.40 | $32.53 – $220.15 |
| UPMC Cole | Coudersport | $71.40 | $31.08 – $98.03 |
| UPMC Community Osteopathic | Harrisburg | $155.40 | $32.53 – $220.15 |
| UPMC East | Monroeville | $156.60 | $31.08 – $208.80 |
| UPMC Hamot | Erie | $158.40 | $31.08 – $161.87 |
| UPMC Northwest | Seneca | $72.00 | $31.08 – $132.72 |