healthcosts.net
Cystoscopy (Bladder Scope) at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,685.00
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.
?
What you pay up front if you don't use insurance.
$4,475.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$82.50 with UPMC Health Plan vs $3,803.75 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $82.50 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $82.50 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $111.22 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $117.08 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $127.81 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $334.87 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $550.23 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $589.83 | ↓ -78% |
| UPMC Health Plan | Commercial | $615.38 | ↓ -77% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $652.77 | ↓ -76% |
| Aetna of PA | Medicare | $668.17 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $687.26 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $687.26 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $687.26 | ↓ -74% |
| Aetna | Medicare | $699.99 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,151.62 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $1,542.31 | ↓ -43% |
| Aetna | Neighborhood Network | $1,552.83 | ↓ -42% |
| Aetna | Home Depot Employer Group | $1,687.08 | ↓ -37% |
| Aetna | EBR FI | $1,700.50 | ↓ -37% |
| UPMC Health Plan | CHIP | $1,715.17 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,722.88 | ↓ -36% |
| Cigna | New Business ASO | $1,722.88 | ↓ -36% |
| Cigna | Commercial | $1,790.00 | ↓ -33% |
| Aetna | EBR ASO | $1,790.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,074.38 | ↓ -23% |
| InterGroup | PPO | $2,237.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $2,685.00 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,778.17 | ↑ +3% |
| Coventry/First Health | Commercial | $3,132.50 | ↑ +17% |
| Private Health Care Systems | PPO | $3,580.00 | ↑ +33% |
| SelectCare | Commercial | $3,580.00 | ↑ +33% |
| Humana | Commercial | $3,803.75 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy (Bladder Scope) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,580.60 | $82.50 – $3,655.85 |
| UPMC East | Monroeville | $2,213.40 | $82.50 – $2,951.20 |
| UPMC Hamot | Erie | $2,752.20 | $82.50 – $3,210.90 |
| UPMC Carlisle | Carlisle | $1,815.60 | $95.25 – $2,572.10 |
| UPMC Cole | Coudersport | $400.80 | $78.75 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $1,815.60 | $95.25 – $1,715.17 |
| UPMC Hanover | Hanover | $1,815.60 | $95.25 – $2,632.62 |
| UPMC Kane | Kane | $1,731.00 | $82.50 – $2,308.00 |