Explore limb vessels 35860 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,349.20
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.
$5,582.00
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.
$700.63 with Highmark BCBS of PA vs $4,744.70 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $700.63 | ↓ -79% |
| UPMC Health Plan | Commercial | $862.67 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,466.41 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $1,472.16 | ↓ -56% |
| UPMC Health Plan | CHIP | $1,584.13 | ↓ -53% |
| Aetna | Neighborhood Network | $1,936.95 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $1,963.89 | ↓ -41% |
| Aetna | Home Depot Employer Group | $2,104.41 | ↓ -37% |
| Aetna | EBR FI | $2,121.16 | ↓ -37% |
| Aetna | NBR ASO/FI | $2,149.07 | ↓ -36% |
| Cigna | New Business ASO | $2,149.07 | ↓ -36% |
| Aetna | EBR ASO | $2,232.80 | ↓ -33% |
| Cigna | Commercial | $2,232.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,641.41 | ↓ -21% |
| UPMC Health Plan | Managed Medicare | $2,781.40 | ↓ -17% |
| InterGroup | PPO | $2,791.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $3,070.10 | ↓ -8% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,078.18 | ↓ -8% |
| Aetna of PA | Medicare | $3,150.80 | ↓ -6% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↓ -3% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↓ -3% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.82 | ↓ -3% |
| Aetna | Medicare | $3,300.84 | ↓ -1% |
| Cigna Behavioral Health | Commercial | $3,349.20 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,537.57 | ↑ +6% |
| Coventry/First Health | Commercial | $3,907.40 | ↑ +17% |
| Private Health Care Systems | PPO | $4,465.60 | ↑ +33% |
| SelectCare | Commercial | $4,465.60 | ↑ +33% |
| Humana | Commercial | $4,744.70 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Explore limb vessels 35860 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,846.60 | $700.63 – $3,300.84 |
| UPMC Presbyterian | Pittsburgh | $5,272.80 | $700.63 – $3,300.84 |
| UPMC St. Margaret | Pittsburgh | $3,583.20 | $700.63 – $3,300.84 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,016.56 – $7,348.95 |
| UPMC East | Monroeville | not published | $700.63 – $3,300.84 |
| UPMC Lititz | Lititz | not published | $1,016.56 – $4,836.88 |
| UPMC Mercy | Pittsburgh | not published | $694.02 – $3,300.84 |