Eeg without vid ea 12-26hr cont at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,126.20
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.
$1,877.00
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.
$468.88 with UPMC Health Plan vs $4,101.79 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 Medicare | $468.88 | ↓ -58% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $518.91 | ↓ -54% |
| Aetna of PA | Medicare | $531.15 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $546.33 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $546.33 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $546.33 | ↓ -51% |
| Aetna | Medicare | $556.45 | ↓ -51% |
| Aetna | Neighborhood Network | $651.32 | ↓ -42% |
| UPMC Health Plan | CHIP | $656.95 | ↓ -42% |
| Aetna | Home Depot Employer Group | $707.63 | ↓ -37% |
| Aetna | EBR FI | $713.26 | ↓ -37% |
| Cigna | New Business ASO | $722.64 | ↓ -36% |
| Aetna | NBR ASO/FI | $722.64 | ↓ -36% |
| Aetna | EBR ASO | $750.80 | ↓ -33% |
| Cigna | Commercial | $750.80 | ↓ -33% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $812.37 | ↓ -28% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $914.32 | ↓ -19% |
| UPMC Health Plan | Managed Medicaid | $914.32 | ↓ -19% |
| InterGroup | PPO | $938.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $1,054.69 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $1,126.20 | ↑ +0% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,232.67 | ↑ +9% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,297.59 | ↑ +15% |
| Coventry/First Health | Commercial | $1,313.90 | ↑ +17% |
| PA Health & Wellness | PA Medicaid HMO | $1,416.53 | ↑ +26% |
| Private Health Care Systems | PPO | $1,501.60 | ↑ +33% |
| SelectCare | Commercial | $1,501.60 | ↑ +33% |
| Humana | Commercial | $1,595.45 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,121.96 | ↑ +88% |
| Highmark BCBS of PA | Managed Care | $2,841.95 | ↑ +152% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,062.69 | ↑ +172% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,101.79 | ↑ +264% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Eeg without vid ea 12-26hr cont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,126.20 | $507.23 – $1,501.60 |
| UPMC Hamot | Erie | $1,178.40 | $583.83 – $1,253.45 |
| UPMC Northwest | Seneca | $1,126.20 | $458.76 – $955.88 |
| UPMC Magee | Pittsburgh | $1,062.60 | $473.43 – $1,416.53 |
| UPMC Passavant-McCandless | Pittsburgh | $1,194.00 | $470.10 – $955.88 |
| UPMC Presbyterian | Pittsburgh | $1,502.40 | $546.33 – $1,293.93 |
| UPMC St. Margaret | Pittsburgh | $1,126.20 | $436.76 – $1,297.59 |