Ghs bladder cath - complex-foley at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,269.60
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.
$2,116.00
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.
$82.07 with UPMC Health Plan vs $1,798.60 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 | Managed Medicaid | $82.07 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $82.07 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $110.65 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $116.47 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $127.15 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $138.27 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.02 | ↓ -88% |
| Aetna of PA | Medicare | $156.63 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $161.10 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.10 | ↓ -87% |
| Aetna | Medicare | $164.09 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $235.40 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $288.68 | ↓ -77% |
| UPMC Health Plan | Commercial | $370.56 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $604.21 | ↓ -52% |
| Aetna | Neighborhood Network | $734.25 | ↓ -42% |
| Aetna | Home Depot Employer Group | $797.73 | ↓ -37% |
| Aetna | EBR FI | $804.08 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $809.18 | ↓ -36% |
| Aetna | NBR ASO/FI | $814.66 | ↓ -36% |
| Cigna | New Business ASO | $814.66 | ↓ -36% |
| Aetna | EBR ASO | $846.40 | ↓ -33% |
| Cigna | Commercial | $846.40 | ↓ -33% |
| UPMC Health Plan | CHIP | $1,032.81 | ↓ -19% |
| InterGroup | PPO | $1,058.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,088.34 | ↓ -14% |
| Cigna Behavioral Health | Commercial | $1,269.60 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,457.59 | ↑ +15% |
| Coventry/First Health | Commercial | $1,481.20 | ↑ +17% |
| Private Health Care Systems | PPO | $1,692.80 | ↑ +33% |
| SelectCare | Commercial | $1,692.80 | ↑ +33% |
| Humana | Commercial | $1,798.60 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs bladder cath - complex-foley at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,272.60 | $74.61 – $1,696.80 |
| UPMC Bedford | Everett | $2,053.80 | $53.82 – $3,080.70 |
| UPMC Carlisle | Carlisle | $871.20 | $94.75 – $1,234.20 |
| UPMC Cole | Coudersport | $534.00 | $45.74 – $235.40 |
| UPMC Community Osteopathic | Harrisburg | $871.20 | $94.75 – $1,234.20 |
| UPMC East | Monroeville | $1,198.80 | $82.07 – $1,598.40 |
| UPMC Hamot | Erie | $2,310.60 | $82.07 – $285.96 |
| UPMC Northwest | Seneca | $605.40 | $82.07 – $235.40 |