Ghs ng placement w fluoro guidance at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$310.20
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.
?
What you pay up front if you don't use insurance.
$517.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$76.99 with Highmark BCBS of PA vs $539.78 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $76.99 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $161.15 | ↓ -48% |
| Aetna | Neighborhood Network | $179.40 | ↓ -42% |
| UPMC Health Plan | Commercial | $193.67 | ↓ -38% |
| Aetna | Home Depot Employer Group | $194.91 | ↓ -37% |
| Aetna | EBR FI | $196.46 | ↓ -37% |
| Aetna | NBR ASO/FI | $199.04 | ↓ -36% |
| Cigna | New Business ASO | $199.04 | ↓ -36% |
| Aetna | EBR ASO | $206.80 | ↓ -33% |
| Cigna | Commercial | $206.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $215.81 | ↓ -30% |
| InterGroup | PPO | $258.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $284.35 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $290.27 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $310.20 | ↑ +0% |
| UPMC Health Plan | Managed Medicare | $352.63 | ↑ +14% |
| Coventry/First Health | Commercial | $361.90 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $388.75 | ↑ +25% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $390.26 | ↑ +26% |
| Aetna of PA | Medicare | $399.46 | ↑ +29% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $410.88 | ↑ +32% |
| AmeriHealth Caritas | Medicare | $410.88 | ↑ +32% |
| Highmark Wholecare (prev Gateway) | Medicare | $410.88 | ↑ +32% |
| SelectCare | Commercial | $413.60 | ↑ +33% |
| Private Health Care Systems | PPO | $413.60 | ↑ +33% |
| Aetna | Medicare | $418.48 | ↑ +35% |
| Humana | Commercial | $439.45 | ↑ +42% |
| UPMC Health Plan | CHIP | $539.78 | ↑ +74% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ng placement w fluoro guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $394.20 | $76.27 – $525.60 |
| UPMC Bedford | Everett | $474.00 | $137.26 – $711.00 |
| UPMC Carlisle | Carlisle | $2,304.60 | $209.95 – $3,264.85 |
| UPMC Cole | Coudersport | $146.40 | $38.81 – $112.00 |
| UPMC Community Osteopathic | Harrisburg | $2,304.60 | $301.72 – $3,264.85 |
| UPMC East | Monroeville | $320.40 | $76.99 – $427.20 |
| UPMC Hamot | Erie | $447.00 | $76.27 – $553.32 |
| UPMC Northwest | Seneca | $334.20 | $197.94 – $410.88 |