Consultation pathology during surgery frozen section each additional block at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$163.80
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.
$273.00
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.
$13.47 with UPMC Health Plan vs $232.05 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 | Commercial | $13.47 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $19.80 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $34.38 | ↓ -79% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $39.57 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $39.57 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $46.04 | ↓ -72% |
| Aetna | Medicare | $47.11 | ↓ -71% |
| UPMC Health Plan | CHIP | $47.71 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $53.34 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $56.15 | ↓ -66% |
| PA Health & Wellness | PA Medicaid HMO | $61.30 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $74.64 | ↓ -54% |
| Aetna | Neighborhood Network | $94.73 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $99.96 | ↓ -39% |
| Aetna | Home Depot Employer Group | $102.92 | ↓ -37% |
| Aetna | EBR FI | $103.74 | ↓ -37% |
| Cigna | New Business ASO | $105.11 | ↓ -36% |
| Aetna | NBR ASO/FI | $105.11 | ↓ -36% |
| UPMC Work Partners | Workers Comp | $106.82 | ↓ -35% |
| Cigna | Commercial | $109.20 | ↓ -33% |
| Aetna | EBR ASO | $109.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $136.50 | ↓ -17% |
| InterGroup | PPO | $136.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $163.80 | ↑ +0% |
| Coventry/First Health | Commercial | $191.10 | ↑ +17% |
| Private Health Care Systems | PPO | $218.40 | ↑ +33% |
| SelectCare | Commercial | $218.40 | ↑ +33% |
| Humana | Commercial | $232.05 | ↑ +42% |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section each additional block at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $229.80 | $7.79 – $306.40 |
| UPMC Bedford | Everett | $75.00 | $13.31 – $112.50 |
| UPMC Carlisle | Carlisle | $112.20 | $10.20 – $158.95 |
| UPMC Cole | Coudersport | $65.40 | $30.21 – $87.20 |
| UPMC Community Osteopathic | Harrisburg | $112.20 | $10.20 – $158.95 |
| UPMC East | Monroeville | $153.00 | $13.13 – $204.00 |
| UPMC Hamot | Erie | $143.40 | $12.71 – $112.61 |
| UPMC Northwest | Seneca | $40.80 | $13.25 – $101.22 |