Euflexxa inj per dose at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,044.20
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.
$3,407.00
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.
$71.00 with UPMC Health Plan vs $2,895.95 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $71.00 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $104.23 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $112.45 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $112.45 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $112.45 | ↓ -94% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $115.35 | ↓ -94% |
| Aetna of PA | Medicare | $118.07 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $121.45 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $121.45 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $121.45 | ↓ -94% |
| Aetna | Medicare | $123.69 | ↓ -94% |
| UPMC Health Plan | Commercial | $138.32 | ↓ -93% |
| UPMC Health Plan | CHIP | $147.72 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $272.94 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $942.04 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,020.81 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,028.99 | ↓ -50% |
| Aetna | Neighborhood Network | $1,182.23 | ↓ -42% |
| Aetna | Home Depot Employer Group | $1,284.44 | ↓ -37% |
| Aetna | EBR FI | $1,294.66 | ↓ -37% |
| Cigna | New Business ASO | $1,311.69 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,311.69 | ↓ -36% |
| Cigna | Commercial | $1,362.80 | ↓ -33% |
| Aetna | EBR ASO | $1,362.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $1,367.17 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,378.10 | ↓ -33% |
| InterGroup | PPO | $1,703.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $2,044.20 | ↑ +0% |
| Coventry/First Health | Commercial | $2,384.90 | ↑ +17% |
| SelectCare | Commercial | $2,725.60 | ↑ +33% |
| Private Health Care Systems | PPO | $2,725.60 | ↑ +33% |
| Humana | Commercial | $2,895.95 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Euflexxa inj per dose at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $1,592.40 | $40.57 – $2,388.60 |
| UPMC Cole | Coudersport | $451.80 | $112.45 – $350.40 |
| UPMC Horizon-Greenville | Greenville | $746.40 | $71.00 – $211.01 |
| UPMC Jameson | New Castle | $1,538.40 | $71.00 – $275.13 |
| UPMC Kane | Kane | $730.80 | $112.45 – $411.11 |
| UPMC Mercy | Pittsburgh | $1,538.40 | $71.00 – $270.36 |
| UPMC Muncy | Muncy | $752.40 | $112.45 – $123.70 |
| UPMC Presbyterian | Pittsburgh | $2,039.40 | $71.00 – $272.94 |