Dstrj nulyt agt gnclr nrv at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,170.60
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.
$1,951.00
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.
$224.43 with Highmark BCBS of PA vs $2,047.90 with Aetna — 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 | $224.43 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $469.73 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $480.33 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $629.08 | ↓ -46% |
| Aetna | Neighborhood Network | $677.00 | ↓ -42% |
| Aetna | Home Depot Employer Group | $735.53 | ↓ -37% |
| Aetna | EBR FI | $741.38 | ↓ -37% |
| Cigna | New Business ASO | $751.13 | ↓ -36% |
| Aetna | NBR ASO/FI | $751.13 | ↓ -36% |
| Aetna | EBR ASO | $780.40 | ↓ -33% |
| Cigna | Commercial | $780.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $846.11 | ↓ -28% |
| InterGroup | PPO | $975.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $1,039.76 | ↓ -11% |
| PA Health & Wellness | PA Medicaid HMO | $1,073.05 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,133.17 | ↓ -3% |
| Cigna Behavioral Health | Commercial | $1,170.60 | ↑ +0% |
| Coventry/First Health | Commercial | $1,365.70 | ↑ +17% |
| Private Health Care Systems | PPO | $1,560.80 | ↑ +33% |
| SelectCare | Commercial | $1,560.80 | ↑ +33% |
| Humana | Commercial | $1,658.35 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $1,725.64 | ↑ +47% |
| UPMC Health Plan | CHIP | $1,909.32 | ↑ +63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,909.76 | ↑ +63% |
| Aetna of PA | Medicare | $1,954.82 | ↑ +67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,010.67 | ↑ +72% |
| AmeriHealth Caritas | Medicare | $2,010.67 | ↑ +72% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,010.67 | ↑ +72% |
| Aetna | Medicare | $2,047.90 | ↑ +75% |
Visitor-reported prices
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Dstrj nulyt agt gnclr nrv at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,661.00 | $502.67 – $8,019.75 |
| UPMC Cole | Coudersport | $219.60 | $98.03 – $480.33 |
| UPMC Community Osteopathic | Harrisburg | $5,661.00 | $502.67 – $8,019.75 |
| UPMC East | Monroeville | $3,961.20 | $224.43 – $5,281.60 |
| UPMC Northwest | Seneca | $1,400.40 | $480.33 – $2,010.67 |
| UPMC Hanover | Hanover | $5,661.00 | $502.67 – $2,984.77 |
| UPMC Horizon-Greenville | Greenville | $1,033.80 | $432.50 – $2,010.67 |
| UPMC Jameson | New Castle | $1,033.80 | $226.24 – $2,513.34 |