Exchange drainage catheter at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$4,536.00
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.
$7,560.00
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.
$64.68 with United Healthcare Community Plan for Families vs $6,426.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $64.68 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $64.68 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $87.20 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $91.79 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $100.21 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $208.61 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,025.53 | ↓ -77% |
| UPMC Health Plan | Commercial | $1,652.35 | ↓ -64% |
| UPMC Health Plan | Managed Medicare | $1,676.34 | ↓ -63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,855.21 | ↓ -59% |
| Aetna of PA | Medicare | $1,898.98 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,953.23 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,953.23 | ↓ -57% |
| AmeriHealth Caritas | Medicare | $1,953.23 | ↓ -57% |
| Aetna | Medicare | $1,989.40 | ↓ -56% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,146.42 | ↓ -53% |
| Aetna | Neighborhood Network | $2,623.32 | ↓ -42% |
| Aetna | Home Depot Employer Group | $2,850.12 | ↓ -37% |
| Aetna | EBR FI | $2,872.80 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $2,874.59 | ↓ -37% |
| Aetna | NBR ASO/FI | $2,910.60 | ↓ -36% |
| Cigna | New Business ASO | $2,910.60 | ↓ -36% |
| Aetna | EBR ASO | $3,024.00 | ↓ -33% |
| Cigna | Commercial | $3,024.00 | ↓ -33% |
| InterGroup | PPO | $3,780.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,866.28 | ↓ -15% |
| Cigna Behavioral Health | Commercial | $4,536.00 | ↑ +0% |
| UPMC Health Plan | CHIP | $4,605.38 | ↑ +2% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,178.02 | ↑ +14% |
| Coventry/First Health | Commercial | $5,292.00 | ↑ +17% |
| Private Health Care Systems | PPO | $6,048.00 | ↑ +33% |
| SelectCare | Commercial | $6,048.00 | ↑ +33% |
| Humana | Commercial | $6,426.00 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Exchange drainage catheter at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,895.40 | $58.80 – $6,527.20 |
| UPMC Carlisle | Carlisle | $6,913.20 | $74.68 – $9,793.70 |
| UPMC Community Osteopathic | Harrisburg | $6,913.20 | $79.38 – $9,793.70 |
| UPMC East | Monroeville | $3,520.20 | $64.68 – $4,693.60 |
| UPMC Hamot | Erie | $6,211.80 | $64.68 – $2,630.42 |
| UPMC Northwest | Seneca | $4,902.00 | $64.68 – $1,898.98 |
| UPMC Hanover | Hanover | $6,913.20 | $74.68 – $2,899.50 |
| UPMC Lititz | Lititz | $6,913.20 | $74.68 – $2,915.17 |