Debride/subq tissue/ea add 20sq cm 11045 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$665.40
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.
$1,109.00
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.
$25.09 with Aetna vs $942.65 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 |
|---|---|---|---|
| Aetna | Medicare | $25.09 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $46.42 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $57.10 | ↓ -91% |
| Highmark BCBS of PA | Managed Care - Social Mission | $119.51 | ↓ -82% |
| Highmark BCBS of PA | Managed Care | $160.06 | ↓ -76% |
| UPMC Health Plan | Commercial | $178.62 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $215.28 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity | $288.32 | ↓ -57% |
| Aetna | Neighborhood Network | $384.82 | ↓ -42% |
| Aetna | Home Depot Employer Group | $418.09 | ↓ -37% |
| Aetna | EBR FI | $421.42 | ↓ -37% |
| Aetna | NBR ASO/FI | $426.96 | ↓ -36% |
| Cigna | New Business ASO | $426.96 | ↓ -36% |
| Aetna | EBR ASO | $443.60 | ↓ -33% |
| Cigna | Commercial | $443.60 | ↓ -33% |
| UPMC Health Plan | CHIP | $497.84 | ↓ -25% |
| InterGroup | PPO | $554.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $554.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $609.95 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $665.40 | ↑ +0% |
| Coventry/First Health | Commercial | $776.30 | ↑ +17% |
| Private Health Care Systems | PPO | $887.20 | ↑ +33% |
| SelectCare | Commercial | $887.20 | ↑ +33% |
| Humana | Commercial | $942.65 | ↑ +42% |
Visitor-reported prices
Comments
Debride/subq tissue/ea add 20sq cm 11045 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $704.40 | $46.42 – $939.20 |
| UPMC Bedford | Everett | $1,456.20 | $46.42 – $2,184.30 |
| UPMC Carlisle | Carlisle | $822.00 | $18.93 – $9,539.00 |
| UPMC Cole | Coudersport | $316.20 | $7.48 – $1,041.88 |
| UPMC East | Monroeville | $315.60 | $46.42 – $420.80 |
| UPMC Hamot | Erie | $1,602.60 | $46.42 – $618.09 |
| UPMC Northwest | Seneca | $1,588.80 | $46.42 – $235.18 |
| UPMC Hanover | Hanover | $822.00 | $18.93 – $497.84 |