Fem/popl revasc w/stent at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$34,884.00
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.
$58,140.00
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.
$468.11 with United Healthcare Community Plan for Families vs $81,929.15 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $468.11 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $468.11 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $631.09 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $664.33 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $725.22 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $10,021.52 | ↓ -71% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $11,090.82 | ↓ -68% |
| UPMC Health Plan | Commercial | $11,244.76 | ↓ -68% |
| Aetna of PA | Medicare | $11,352.46 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $11,676.82 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $11,676.82 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,676.82 | ↓ -67% |
| Aetna | Medicare | $11,893.06 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $13,195.02 | ↓ -62% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16,226.38 | ↓ -53% |
| Aetna | Neighborhood Network | $20,174.58 | ↓ -42% |
| UPMC Health Plan | CHIP | $20,648.82 | ↓ -41% |
| Aetna | Home Depot Employer Group | $21,918.78 | ↓ -37% |
| Aetna | EBR FI | $22,093.20 | ↓ -37% |
| Aetna | NBR ASO/FI | $22,383.90 | ↓ -36% |
| Cigna | New Business ASO | $22,383.90 | ↓ -36% |
| Cigna | Commercial | $23,256.00 | ↓ -33% |
| Aetna | EBR ASO | $23,256.00 | ↓ -33% |
| InterGroup | PPO | $29,070.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $33,961.68 | ↓ -3% |
| Cigna Behavioral Health | Commercial | $34,884.00 | ↑ +0% |
| Coventry/First Health | Commercial | $40,698.00 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $45,483.14 | ↑ +30% |
| Private Health Care Systems | PPO | $46,512.00 | ↑ +33% |
| SelectCare | Commercial | $46,512.00 | ↑ +33% |
| Humana | Commercial | $49,419.00 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $61,174.26 | ↑ +75% |
| Highmark BCBS of PA | Commercial - Indemnity | $81,929.15 | ↑ +135% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Fem/popl revasc w/stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $34,982.40 | $11,025.95 – $46,643.20 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $67,293.00 | $10,841.06 – $89,724.00 |
| UPMC Hamot | Erie | $33,906.00 | $468.11 – $16,073.32 |
| UPMC Northwest | Seneca | $34,620.00 | $9,805.28 – $13,195.02 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $20,648.82 |
| UPMC Jameson | New Castle | $17,020.20 | $892.40 – $16,356.95 |