Flow cytometry one marker technical component at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$429.60
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.
$716.00
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.
$38.05 with UPMC Health Plan vs $608.60 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 | Commercial | $38.05 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $40.85 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $40.85 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.08 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $57.98 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $63.29 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $84.96 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $87.13 | ↓ -80% |
| UPMC Health Plan | CHIP | $134.74 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $151.30 | ↓ -65% |
| Highmark BCBS of PA | Managed Care | $202.63 | ↓ -53% |
| Aetna | Neighborhood Network | $248.45 | ↓ -42% |
| Aetna | Home Depot Employer Group | $269.93 | ↓ -37% |
| Aetna | EBR FI | $272.08 | ↓ -37% |
| Aetna | NBR ASO/FI | $275.66 | ↓ -36% |
| Cigna | New Business ASO | $275.66 | ↓ -36% |
| Aetna | EBR ASO | $286.40 | ↓ -33% |
| Cigna | Commercial | $286.40 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $317.88 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $328.47 | ↓ -24% |
| Geisinger | Medicaid/CHIP | $342.95 | ↓ -20% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $351.80 | ↓ -18% |
| InterGroup | PPO | $358.00 | ↓ -17% |
| Aetna of PA | Medicare | $360.10 | ↓ -16% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.39 | ↓ -14% |
| AmeriHealth Caritas | Medicare | $370.39 | ↓ -14% |
| Highmark Wholecare (prev Gateway) | Medicare | $370.39 | ↓ -14% |
| Aetna | Medicare | $377.25 | ↓ -12% |
| Cigna Behavioral Health | Commercial | $429.60 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $439.91 | ↑ +2% |
| Coventry/First Health | Commercial | $501.20 | ↑ +17% |
| SelectCare | Commercial | $572.80 | ↑ +33% |
| Private Health Care Systems | PPO | $572.80 | ↑ +33% |
| Humana | Commercial | $608.60 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Flow cytometry one marker technical component at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $213.00 | $37.14 – $270.40 |
| UPMC Bedford | Everett | $190.20 | $37.14 – $285.30 |
| UPMC Carlisle | Carlisle | $664.80 | $37.14 – $941.80 |
| UPMC Cole | Coudersport | $248.40 | $39.00 – $331.20 |
| UPMC Community Osteopathic | Harrisburg | $664.80 | $37.14 – $941.80 |
| UPMC East | Monroeville | $666.00 | $37.06 – $888.00 |
| UPMC Hamot | Erie | $209.40 | $23.43 – $427.47 |
| UPMC Northwest | Seneca | $288.60 | $37.41 – $360.10 |