Echocardiograpy doppler follow up/limited study at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$304.20
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.
$507.00
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.
$25.85 with Aetna vs $430.95 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 | $25.85 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $31.13 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $31.13 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $41.97 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.18 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $48.23 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $51.87 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $135.48 | ↓ -55% |
| UPMC Health Plan | CHIP | $167.94 | ↓ -45% |
| Aetna | Neighborhood Network | $175.93 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $181.45 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $184.95 | ↓ -39% |
| Aetna | Home Depot Employer Group | $191.14 | ↓ -37% |
| Aetna | EBR FI | $192.66 | ↓ -37% |
| Aetna | NBR ASO/FI | $195.19 | ↓ -36% |
| Cigna | New Business ASO | $195.19 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $195.54 | ↓ -36% |
| Aetna | EBR ASO | $202.80 | ↓ -33% |
| Cigna | Commercial | $202.80 | ↓ -33% |
| InterGroup | PPO | $253.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $253.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $261.88 | ↓ -14% |
| Cigna Behavioral Health | Commercial | $304.20 | ↑ +0% |
| UPMC Health Plan | Commercial | $345.90 | ↑ +14% |
| Coventry/First Health | Commercial | $354.90 | ↑ +17% |
| Private Health Care Systems | PPO | $405.60 | ↑ +33% |
| SelectCare | Commercial | $405.60 | ↑ +33% |
| Humana | Commercial | $430.95 | ↑ +42% |
Visitor-reported prices
Comments
Echocardiograpy doppler follow up/limited study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $307.80 | $20.55 – $410.40 |
| UPMC Cole | Coudersport | $67.20 | $29.71 – $129.33 |
| UPMC Community Osteopathic | Harrisburg | $303.60 | $9.00 – $321.23 |
| UPMC Hamot | Erie | $486.00 | $31.13 – $184.95 |
| UPMC Northwest | Seneca | $324.00 | $31.13 – $169.14 |
| UPMC Hanover | Hanover | $184.80 | $26.92 – $1,907.00 |
| UPMC Horizon-Greenville | Greenville | $280.20 | $29.71 – $169.14 |
| UPMC Jameson | New Castle | $280.20 | $23.50 – $169.14 |