Controller infinity pt dbs at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,430.20
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.
$5,717.00
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.
$65.34 with Aetna vs $10,086.51 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 | $65.34 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $326.50 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $430.98 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $441.82 | ↓ -87% |
| Aetna | Neighborhood Network | $453.18 | ↓ -87% |
| Aetna | Home Depot Employer Group | $492.36 | ↓ -86% |
| Aetna | EBR FI | $496.28 | ↓ -86% |
| Cigna | New Business ASO | $502.81 | ↓ -85% |
| Aetna | NBR ASO/FI | $502.81 | ↓ -85% |
| Aetna | EBR ASO | $522.40 | ↓ -85% |
| Cigna | Commercial | $522.40 | ↓ -85% |
| InterGroup | PPO | $653.00 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $653.00 | ↓ -81% |
| Cigna Behavioral Health | Commercial | $783.60 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $889.33 | ↓ -74% |
| Coventry/First Health | Commercial | $914.20 | ↓ -73% |
| SelectCare | Commercial | $1,044.80 | ↓ -70% |
| Private Health Care Systems | PPO | $1,044.80 | ↓ -70% |
| Humana | Commercial | $1,110.10 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,326.18 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,352.82 | ↓ -2% |
| Highmark BCBS of PA | Managed Care | $4,454.75 | ↑ +30% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,490.34 | ↑ +31% |
| UPMC Health Plan | CHIP | $4,897.26 | ↑ +43% |
| UPMC Health Plan | Commercial | $10,086.51 | ↑ +194% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Controller infinity pt dbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,347.00 | $240.54 – $4,897.26 |
| UPMC Bedford | Everett | $4,558.20 | $543.78 – $4,897.26 |
| UPMC Cole | Coudersport | $22,140.00 | $496.47 – $7,011.00 |
| UPMC East | Monroeville | $3,442.80 | $257.07 – $4,897.26 |
| UPMC Hamot | Erie | $4,699.80 | $880.94 – $880.94 |
| UPMC Northwest | Seneca | $3,636.00 | $2,286.38 – $5,926.12 |
| UPMC Horizon-Greenville | Greenville | $4,558.20 | $2,245.15 – $4,897.26 |
| UPMC Jameson | New Castle | $697.20 | $59.40 – $4,897.26 |