Ghs community re-entry 15 minutes at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$102.00
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.
$170.00
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.
$24.28 with Aetna vs $177.85 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $24.28 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.73 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $44.68 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $44.79 | ↓ -56% |
| Aetna | Neighborhood Network | $58.99 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $59.83 | ↓ -41% |
| Aetna | Home Depot Employer Group | $64.09 | ↓ -37% |
| Aetna | EBR FI | $64.60 | ↓ -37% |
| Cigna | New Business ASO | $65.45 | ↓ -36% |
| Aetna | NBR ASO/FI | $65.45 | ↓ -36% |
| Aetna | EBR ASO | $68.00 | ↓ -33% |
| Cigna | Commercial | $68.00 | ↓ -33% |
| InterGroup | PPO | $85.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $85.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $86.35 | ↓ -15% |
| PA Health & Wellness | PA Medicaid HMO | $93.50 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $96.99 | ↓ -5% |
| Cigna Behavioral Health | Commercial | $102.00 | ↑ +0% |
| Coventry/First Health | Commercial | $119.00 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $129.90 | ↑ +27% |
| Private Health Care Systems | PPO | $136.00 | ↑ +33% |
| SelectCare | Commercial | $136.00 | ↑ +33% |
| Humana | Commercial | $144.50 | ↑ +42% |
| UPMC Health Plan | Commercial | $177.85 | ↑ +74% |
Visitor-reported prices
Comments
Ghs community re-entry 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $115.80 | $25.48 – $154.40 |
| UPMC Cole | Coudersport | $71.40 | $32.99 – $95.20 |
| UPMC East | Monroeville | $83.40 | $25.73 – $111.20 |
| UPMC Hamot | Erie | $141.60 | $25.48 – $100.11 |
| UPMC Hanover | Hanover | $81.00 | $44.59 – $148.00 |
| UPMC Horizon-Greenville | Greenville | $146.40 | $41.21 – $86.35 |
| UPMC Kane | Kane | $94.20 | $42.02 – $134.31 |
| UPMC Magee | Pittsburgh | $176.40 | $24.28 – $86.35 |