Ghs inj tendon origin/insertion at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$648.00
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.
$1,080.00
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.
$42.64 with United Healthcare Community Plan for Families vs $918.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $42.64 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $42.64 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $57.48 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.51 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $66.05 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $102.21 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $116.19 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $213.93 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $260.86 | ↓ -60% |
| UPMC Health Plan | Commercial | $285.09 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $286.51 | ↓ -56% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $288.69 | ↓ -55% |
| Aetna of PA | Medicare | $295.50 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $303.94 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $303.94 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $303.94 | ↓ -53% |
| Aetna | Medicare | $309.57 | ↓ -52% |
| Aetna | Neighborhood Network | $374.76 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $385.35 | ↓ -41% |
| Aetna | Home Depot Employer Group | $407.16 | ↓ -37% |
| Aetna | EBR FI | $410.40 | ↓ -37% |
| Cigna | New Business ASO | $415.80 | ↓ -36% |
| Aetna | NBR ASO/FI | $415.80 | ↓ -36% |
| Cigna | Commercial | $432.00 | ↓ -33% |
| Aetna | EBR ASO | $432.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $516.09 | ↓ -20% |
| InterGroup | PPO | $540.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $648.00 | ↑ +0% |
| Coventry/First Health | Commercial | $756.00 | ↑ +17% |
| UPMC Health Plan | CHIP | $794.58 | ↑ +23% |
| Private Health Care Systems | PPO | $864.00 | ↑ +33% |
| SelectCare | Commercial | $864.00 | ↑ +33% |
| Humana | Commercial | $918.00 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs inj tendon origin/insertion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $158.40 | $38.76 – $211.20 |
| UPMC Bedford | Everett | $360.60 | $40.70 – $540.90 |
| UPMC Cole | Coudersport | $64.20 | $14.14 – $116.19 |
| UPMC Horizon-Greenville | Greenville | $360.60 | $42.64 – $303.94 |
| UPMC Kane | Kane | $390.60 | $42.64 – $243.03 |
| UPMC Magee | Pittsburgh | $478.80 | $42.64 – $303.94 |
| UPMC Mercy | Pittsburgh | $441.60 | $42.64 – $309.57 |
| UPMC Passavant-McCandless | Pittsburgh | $481.80 | $42.64 – $309.57 |