Coronary angio/cath placement bypass graft/lv gram/lt heart at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$9,473.40
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.
$15,789.00
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.
$1,447.33 with Highmark BCBS of PA vs $13,420.65 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,447.33 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $1,728.43 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $2,842.30 | ↓ -70% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,145.57 | ↓ -67% |
| Aetna of PA | Medicare | $3,219.78 | ↓ -66% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,311.78 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $3,311.78 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,311.78 | ↓ -65% |
| Aetna | Medicare | $3,373.11 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,780.48 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $5,063.21 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,456.49 | ↓ -42% |
| Aetna | Neighborhood Network | $5,478.78 | ↓ -42% |
| UPMC Health Plan | CHIP | $5,577.26 | ↓ -41% |
| Aetna | Home Depot Employer Group | $5,952.45 | ↓ -37% |
| Aetna | EBR FI | $5,999.82 | ↓ -37% |
| Cigna | New Business ASO | $6,078.77 | ↓ -36% |
| Aetna | NBR ASO/FI | $6,078.77 | ↓ -36% |
| Aetna | EBR ASO | $6,315.60 | ↓ -33% |
| Cigna | Commercial | $6,315.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,307.74 | ↓ -23% |
| InterGroup | PPO | $7,894.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $8,683.95 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $9,473.40 | ↑ +0% |
| Coventry/First Health | Commercial | $11,052.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $11,487.07 | ↑ +21% |
| SelectCare | Commercial | $12,631.20 | ↑ +33% |
| Private Health Care Systems | PPO | $12,631.20 | ↑ +33% |
| Humana | Commercial | $13,420.65 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Coronary angio/cath placement bypass graft/lv gram/lt heart at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,891.20 | $1,433.67 – $14,521.60 |
| UPMC Carlisle | Carlisle | $6,234.00 | $1,016.56 – $8,831.50 |
| UPMC Community Osteopathic | Harrisburg | $6,234.00 | $1,016.56 – $8,831.50 |
| UPMC East | Monroeville | $7,418.40 | $1,447.33 – $9,891.20 |
| UPMC Hamot | Erie | $25,078.20 | $1,433.67 – $4,459.95 |
| UPMC Northwest | Seneca | $9,024.60 | $1,728.43 – $3,311.78 |
| UPMC Hanover | Hanover | $6,234.00 | $1,016.56 – $5,577.26 |
| UPMC Jameson | New Castle | $4,585.80 | $892.40 – $3,833.07 |