Graft nerve adv 3-4x70mm at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,927.40
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.
$4,879.00
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.
$416.00 with Aetna vs $9,455.61 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 | $416.00 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $416.00 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $549.12 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $562.93 | ↓ -81% |
| Aetna | Neighborhood Network | $577.41 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $602.38 | ↓ -79% |
| Aetna | Home Depot Employer Group | $627.33 | ↓ -79% |
| Aetna | EBR FI | $632.32 | ↓ -78% |
| Aetna | NBR ASO/FI | $640.64 | ↓ -78% |
| Cigna | New Business ASO | $640.64 | ↓ -78% |
| Aetna | EBR ASO | $665.60 | ↓ -77% |
| Cigna | Commercial | $665.60 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $832.00 | ↓ -72% |
| InterGroup | PPO | $832.00 | ↓ -72% |
| Cigna Behavioral Health | Commercial | $998.40 | ↓ -66% |
| Coventry/First Health | Commercial | $1,164.80 | ↓ -60% |
| Private Health Care Systems | PPO | $1,331.20 | ↓ -55% |
| SelectCare | Commercial | $1,331.20 | ↓ -55% |
| Humana | Commercial | $1,414.40 | ↓ -52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,252.94 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,270.99 | ↓ -22% |
| Highmark BCBS of PA | Managed Care | $3,017.37 | ↑ +3% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,041.47 | ↑ +4% |
| UPMC Health Plan | CHIP | $4,590.94 | ↑ +57% |
| UPMC Health Plan | Commercial | $9,455.61 | ↑ +223% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft nerve adv 3-4x70mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $25,023.60 | $435.86 – $4,590.94 |
| UPMC Cole | Coudersport | $4,795.20 | $1,518.48 – $6,393.60 |
| UPMC East | Monroeville | $21,180.60 | $221.54 – $4,590.94 |
| UPMC Hamot | Erie | $25,816.80 | $596.69 – $596.69 |
| UPMC Northwest | Seneca | $5,283.60 | $1,548.65 – $5,555.44 |
| UPMC Horizon-Greenville | Greenville | $7,414.20 | $1,520.72 – $4,590.94 |
| UPMC Jameson | New Castle | $6,994.80 | $607.22 – $4,590.94 |
| UPMC Kane | Kane | $13,323.60 | $3,380.65 – $3,380.65 |