Fetal hemoglobin rosette at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$205.80
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.
$343.00
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.
$8.68 with UPMC Health Plan vs $291.55 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 Medicare | $8.68 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $9.25 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $9.36 | ↓ -95% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $9.60 | ↓ -95% |
| Aetna of PA | Medicare | $9.83 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $10.09 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $10.09 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $10.11 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $10.11 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $10.11 | ↓ -95% |
| Aetna | Medicare | $10.30 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.60 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.32 | ↓ -93% |
| UPMC Health Plan | Commercial | $14.99 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $15.63 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $21.24 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $36.89 | ↓ -82% |
| Highmark BCBS of PA | Managed Care | $49.40 | ↓ -76% |
| UPMC Health Plan | CHIP | $53.09 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $80.08 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity | $107.25 | ↓ -48% |
| Aetna | Neighborhood Network | $119.02 | ↓ -42% |
| Aetna | Home Depot Employer Group | $129.31 | ↓ -37% |
| Aetna | EBR FI | $130.34 | ↓ -37% |
| Cigna | New Business ASO | $132.06 | ↓ -36% |
| Aetna | NBR ASO/FI | $132.06 | ↓ -36% |
| Cigna | Commercial | $137.20 | ↓ -33% |
| Aetna | EBR ASO | $137.20 | ↓ -33% |
| InterGroup | PPO | $171.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $205.80 | ↑ +0% |
| Coventry/First Health | Commercial | $240.10 | ↑ +17% |
| SelectCare | Commercial | $274.40 | ↑ +33% |
| Private Health Care Systems | PPO | $274.40 | ↑ +33% |
| Humana | Commercial | $291.55 | ↑ +42% |
Visitor-reported prices
Comments
Fetal hemoglobin rosette at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $105.60 | $9.17 – $140.80 |
| UPMC Carlisle | Carlisle | $48.00 | $9.17 – $68.00 |
| UPMC Community Osteopathic | Harrisburg | $48.00 | $9.17 – $68.00 |
| UPMC Hamot | Erie | $141.00 | $9.12 – $21.04 |
| UPMC Hanover | Hanover | $48.00 | $9.17 – $14.98 |
| UPMC Horizon-Greenville | Greenville | $80.40 | $8.38 – $17.56 |
| UPMC Lititz | Lititz | $48.00 | $9.17 – $14.98 |
| UPMC Magee | Pittsburgh | $102.60 | $8.76 – $21.24 |