Compatibility test each unit antiglobulin technique at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$282.00
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.
$470.00
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.
$23.10 with UPMC Health Plan vs $399.50 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 Medicaid | $23.10 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $23.10 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.14 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $32.78 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $35.79 | ↓ -87% |
| UPMC Health Plan | Commercial | $59.22 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $69.81 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $95.54 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $121.22 | ↓ -57% |
| UPMC Health Plan | Managed Medicare | $151.43 | ↓ -46% |
| Highmark BCBS of PA | Managed Care | $162.35 | ↓ -42% |
| Aetna | Neighborhood Network | $163.09 | ↓ -42% |
| Geisinger | Medicaid/CHIP | $163.37 | ↓ -42% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $167.58 | ↓ -41% |
| Aetna of PA | Medicare | $171.54 | ↓ -39% |
| AmeriHealth Caritas | Medicare | $176.44 | ↓ -37% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.44 | ↓ -37% |
| Aetna | Home Depot Employer Group | $177.19 | ↓ -37% |
| Aetna | EBR FI | $178.60 | ↓ -37% |
| Aetna | Medicare | $179.71 | ↓ -36% |
| Aetna | NBR ASO/FI | $180.95 | ↓ -36% |
| Cigna | New Business ASO | $180.95 | ↓ -36% |
| Aetna | EBR ASO | $188.00 | ↓ -33% |
| Cigna | Commercial | $188.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $209.72 | ↓ -26% |
| InterGroup | PPO | $235.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $263.17 | ↓ -7% |
| Cigna Behavioral Health | Commercial | $282.00 | ↑ +0% |
| Coventry/First Health | Commercial | $329.00 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $352.46 | ↑ +25% |
| Private Health Care Systems | PPO | $376.00 | ↑ +33% |
| SelectCare | Commercial | $376.00 | ↑ +33% |
| Humana | Commercial | $399.50 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Compatibility test each unit antiglobulin technique at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $135.60 | $21.00 – $180.80 |
| UPMC Bedford | Everett | $186.00 | $21.00 – $279.00 |
| UPMC Carlisle | Carlisle | $203.40 | $21.00 – $288.15 |
| UPMC Cole | Coudersport | $240.60 | $22.05 – $320.80 |
| UPMC Community Osteopathic | Harrisburg | $203.40 | $21.00 – $288.15 |
| UPMC East | Monroeville | $536.40 | $21.00 – $715.20 |
| UPMC Hamot | Erie | $192.00 | $21.00 – $213.04 |
| UPMC Northwest | Seneca | $179.40 | $23.10 – $171.54 |