Cytogenetics 25-99 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$303.00
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.
$505.00
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.
$39.28 with UPMC Health Plan vs $440.57 with Highmark BCBS of PA — 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 Medicare | $39.28 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $41.88 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $42.38 | ↓ -86% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $43.47 | ↓ -86% |
| Aetna of PA | Medicare | $44.50 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $45.77 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $45.77 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $45.77 | ↓ -85% |
| Aetna | Medicare | $46.62 | ↓ -85% |
| UPMC Health Plan | Commercial | $67.40 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $87.26 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $151.52 | ↓ -50% |
| Aetna | Neighborhood Network | $175.24 | ↓ -42% |
| Aetna | Home Depot Employer Group | $190.38 | ↓ -37% |
| Aetna | EBR FI | $191.90 | ↓ -37% |
| Cigna | New Business ASO | $194.43 | ↓ -36% |
| Aetna | NBR ASO/FI | $194.43 | ↓ -36% |
| Aetna | EBR ASO | $202.00 | ↓ -33% |
| Cigna | Commercial | $202.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $202.94 | ↓ -33% |
| UPMC Health Plan | CHIP | $238.67 | ↓ -21% |
| InterGroup | PPO | $252.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $277.75 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $303.00 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $328.96 | ↑ +9% |
| Coventry/First Health | Commercial | $353.50 | ↑ +17% |
| SelectCare | Commercial | $404.00 | ↑ +33% |
| Private Health Care Systems | PPO | $404.00 | ↑ +33% |
| Humana | Commercial | $429.25 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $440.57 | ↑ +45% |
Visitor-reported prices
Comments
Cytogenetics 25-99 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $158.40 | $41.88 – $211.20 |
| UPMC Cole | Coudersport | $153.00 | $27.55 – $204.00 |
| UPMC East | Monroeville | $666.60 | $41.88 – $888.80 |
| UPMC Hamot | Erie | $420.60 | $41.88 – $86.43 |
| UPMC Northwest | Seneca | $292.80 | $38.43 – $45.77 |
| UPMC Horizon-Greenville | Greenville | $357.60 | $37.94 – $79.53 |
| UPMC Jameson | New Castle | $357.60 | $29.73 – $87.96 |
| UPMC Magee | Pittsburgh | $357.60 | $39.66 – $87.26 |