Drug assay vedolizumab at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$93.00
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.
$155.00
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.
$21.80 with Highmark BCBS of PA vs $180.32 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $21.80 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $35.75 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $37.86 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $38.12 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $38.57 | ↓ -59% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $39.57 | ↓ -57% |
| Aetna of PA | Medicare | $40.50 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $41.66 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $41.66 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $41.66 | ↓ -55% |
| Aetna | Medicare | $42.43 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $50.71 | ↓ -45% |
| Aetna | Neighborhood Network | $53.78 | ↓ -42% |
| Aetna | Home Depot Employer Group | $58.44 | ↓ -37% |
| Aetna | EBR FI | $58.90 | ↓ -37% |
| Aetna | NBR ASO/FI | $59.67 | ↓ -36% |
| Cigna | New Business ASO | $59.67 | ↓ -36% |
| Aetna | EBR ASO | $62.00 | ↓ -33% |
| Cigna | Commercial | $62.00 | ↓ -33% |
| InterGroup | PPO | $77.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $82.21 | ↓ -12% |
| PA Health & Wellness | PA Medicaid HMO | $85.25 | ↓ -8% |
| UPMC Health Plan | Commercial | $90.16 | ↓ -3% |
| Cigna Behavioral Health | Commercial | $93.00 | ↑ +0% |
| Coventry/First Health | Commercial | $108.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $110.10 | ↑ +18% |
| SelectCare | Commercial | $124.00 | ↑ +33% |
| Private Health Care Systems | PPO | $124.00 | ↑ +33% |
| Humana | Commercial | $131.75 | ↑ +42% |
| UPMC Health Plan | CHIP | $180.32 | ↑ +94% |
Visitor-reported prices
Comments
Drug assay vedolizumab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $106.20 | $21.60 – $141.60 |
| UPMC Bedford | Everett | $135.60 | $13.92 – $203.40 |
| UPMC Carlisle | Carlisle | $83.40 | $19.04 – $118.15 |
| UPMC Community Osteopathic | Harrisburg | $83.40 | $27.80 – $180.32 |
| UPMC East | Monroeville | $203.40 | $21.80 – $271.20 |
| UPMC Hamot | Erie | $120.00 | $21.60 – $41.66 |
| UPMC Northwest | Seneca | $126.60 | $34.98 – $41.66 |
| UPMC Hanover | Hanover | $83.40 | $30.82 – $180.32 |