Ghs st - re-eval for alt comm at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$496.80
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.
$828.00
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.
$76.56 with Aetna vs $864.85 with Highmark BCBS of PA — 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 | $76.56 | ↓ -85% |
| UPMC Health Plan | CHIP | $118.66 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $171.29 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $192.06 | ↓ -61% |
| UPMC Health Plan | Commercial | $244.40 | ↓ -51% |
| Aetna | Neighborhood Network | $287.32 | ↓ -42% |
| Aetna | Home Depot Employer Group | $312.16 | ↓ -37% |
| Aetna | EBR FI | $314.64 | ↓ -37% |
| Aetna | NBR ASO/FI | $318.78 | ↓ -36% |
| Cigna | New Business ASO | $318.78 | ↓ -36% |
| Aetna | EBR ASO | $331.20 | ↓ -33% |
| Cigna | Commercial | $331.20 | ↓ -33% |
| InterGroup | PPO | $414.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $414.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $447.41 | ↓ -10% |
| PA Health & Wellness | PA Medicaid HMO | $455.40 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $496.80 | ↑ +0% |
| Coventry/First Health | Commercial | $579.60 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $599.22 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $645.76 | ↑ +30% |
| Private Health Care Systems | PPO | $662.40 | ↑ +33% |
| SelectCare | Commercial | $662.40 | ↑ +33% |
| Humana | Commercial | $703.80 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $864.85 | ↑ +74% |
Visitor-reported prices
Comments
Ghs st - re-eval for alt comm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $321.00 | $73.56 – $428.00 |
| UPMC Northwest | Seneca | $991.80 | $143.59 – $440.36 |
| UPMC Mercy | Pittsburgh | $745.80 | $93.70 – $199.94 |
| UPMC Muncy | Muncy | $249.60 | $56.63 – $205.45 |
| UPMC Passavant-McCandless | Pittsburgh | $1,070.40 | $171.29 – $223.32 |
| UPMC Presbyterian | Pittsburgh | $1,321.80 | $53.09 – $232.49 |
| UPMC St. Margaret | Pittsburgh | $1,089.00 | $145.61 – $192.06 |
| UPMC Wellsboro | Wellsboro | $301.60 | $56.63 – $177.84 |