Drainage of nose lesion sept 30020 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,688.80
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.
$6,148.00
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.
$80.85 with UPMC Health Plan vs $8,315.75 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 Medicaid | $80.85 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $80.85 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $109.00 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $114.74 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $125.26 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $231.88 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $450.02 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $498.04 | ↓ -86% |
| Aetna of PA | Medicare | $509.79 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $524.35 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $524.35 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $524.35 | ↓ -86% |
| Aetna | Medicare | $534.06 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,646.97 | ↓ -55% |
| UPMC Health Plan | Commercial | $1,854.39 | ↓ -50% |
| Aetna | Neighborhood Network | $2,133.36 | ↓ -42% |
| Aetna | Home Depot Employer Group | $2,317.80 | ↓ -37% |
| Aetna | EBR FI | $2,336.24 | ↓ -37% |
| Cigna | New Business ASO | $2,366.98 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,366.98 | ↓ -36% |
| Cigna | Commercial | $2,459.20 | ↓ -33% |
| Aetna | EBR ASO | $2,459.20 | ↓ -33% |
| InterGroup | PPO | $3,074.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,447.09 | ↓ -7% |
| Cigna Behavioral Health | Commercial | $3,688.80 | ↑ +0% |
| Coventry/First Health | Commercial | $4,303.60 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $4,616.51 | ↑ +25% |
| SelectCare | Commercial | $4,918.40 | ↑ +33% |
| Private Health Care Systems | PPO | $4,918.40 | ↑ +33% |
| UPMC Health Plan | CHIP | $5,168.52 | ↑ +40% |
| Humana | Commercial | $5,225.80 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,209.15 | ↑ +68% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,315.75 | ↑ +125% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Drainage of nose lesion sept 30020 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,624.20 | $93.34 – $2,300.95 |
| UPMC Community Osteopathic | Harrisburg | $1,624.20 | $93.34 – $5,168.52 |
| UPMC Jameson | New Castle | $3,688.80 | $80.85 – $1,660.22 |
| UPMC Lititz | Lititz | $1,624.20 | $93.34 – $1,044.07 |
| UPMC Memorial | York | $1,624.20 | $93.34 – $1,329.69 |
| UPMC Mercy | Pittsburgh | $3,688.80 | $80.85 – $1,631.43 |
| UPMC Presbyterian | Pittsburgh | $4,920.00 | $80.85 – $1,646.97 |
| UPMC Somerset | Somerset | $1,624.20 | $80.85 – $916.55 |