Cytopathology fna adequacy evaluation first episode each site interp/rpt at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$131.40
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.
$219.00
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.
$22.55 with UPMC Health Plan vs $186.15 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 | $22.55 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.56 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $44.38 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $47.22 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $50.94 | ↓ -61% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $52.25 | ↓ -60% |
| Aetna of PA | Medicare | $53.49 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.02 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.02 | ↓ -58% |
| AmeriHealth Caritas | Medicare | $55.02 | ↓ -58% |
| Aetna | Medicare | $56.03 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $59.44 | ↓ -55% |
| Aetna | Neighborhood Network | $75.99 | ↓ -42% |
| UPMC Health Plan | CHIP | $79.86 | ↓ -39% |
| Aetna | Home Depot Employer Group | $82.56 | ↓ -37% |
| Aetna | EBR FI | $83.22 | ↓ -37% |
| Aetna | NBR ASO/FI | $84.31 | ↓ -36% |
| Cigna | New Business ASO | $84.31 | ↓ -36% |
| Aetna | EBR ASO | $87.60 | ↓ -33% |
| Cigna | Commercial | $87.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $96.35 | ↓ -27% |
| InterGroup | PPO | $109.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $120.45 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $129.05 | ↓ -2% |
| Cigna Behavioral Health | Commercial | $131.40 | ↑ +0% |
| UPMC Work Partners | Workers Comp | $146.41 | ↑ +11% |
| Coventry/First Health | Commercial | $153.30 | ↑ +17% |
| SelectCare | Commercial | $175.20 | ↑ +33% |
| Private Health Care Systems | PPO | $175.20 | ↑ +33% |
| Humana | Commercial | $186.15 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Cytopathology fna adequacy evaluation first episode each site interp/rpt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $249.60 | $25.32 – $332.80 |
| UPMC Bedford | Everett | $145.80 | $18.38 – $218.70 |
| UPMC Carlisle | Carlisle | $116.40 | $26.58 – $164.90 |
| UPMC Cole | Coudersport | $251.40 | $53.00 – $335.20 |
| UPMC Community Osteopathic | Harrisburg | $223.80 | $30.20 – $148.60 |
| UPMC East | Monroeville | $197.40 | $21.97 – $263.20 |
| UPMC Hamot | Erie | $288.00 | $25.32 – $146.41 |
| UPMC Northwest | Seneca | $85.20 | $22.17 – $141.99 |