Graft xenmtrx sft rect 19x28cm at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,298.60
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.
$3,831.00
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.
$66.50 with Highmark Wholecare (prev Gateway) vs $2,505.39 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $66.50 | ↓ -97% |
| Aetna | Medicare | $66.50 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $87.78 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $89.99 | ↓ -96% |
| Aetna | Neighborhood Network | $92.30 | ↓ -96% |
| Aetna | Home Depot Employer Group | $100.28 | ↓ -96% |
| Aetna | EBR FI | $101.08 | ↓ -96% |
| Aetna | NBR ASO/FI | $102.41 | ↓ -96% |
| Cigna | New Business ASO | $102.41 | ↓ -96% |
| Aetna | EBR ASO | $106.40 | ↓ -95% |
| Cigna | Commercial | $106.40 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $133.00 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $133.00 | ↓ -94% |
| InterGroup | PPO | $133.00 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $140.98 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $140.98 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity | $143.64 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $143.64 | ↓ -94% |
| Cigna Behavioral Health | Commercial | $159.60 | ↓ -93% |
| Coventry/First Health | Commercial | $186.20 | ↓ -92% |
| SelectCare | Commercial | $212.80 | ↓ -91% |
| Private Health Care Systems | PPO | $212.80 | ↓ -91% |
| Humana | Commercial | $226.10 | ↓ -90% |
| UPMC Health Plan | CHIP | $1,216.43 | ↓ -47% |
| UPMC Health Plan | Commercial | $2,505.39 | ↑ +9% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Graft xenmtrx sft rect 19x28cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,559.40 | $47.88 – $1,216.43 |
| UPMC Bedford | Everett | $2,045.40 | $57.38 – $1,216.43 |
| UPMC Cole | Coudersport | $984.60 | $311.79 – $1,312.80 |
| UPMC Community Osteopathic | Harrisburg | $461.40 | $116.20 – $1,216.43 |
| UPMC East | Monroeville | $2,583.00 | $35.53 – $1,216.43 |
| UPMC Northwest | Seneca | $255.00 | $1,471.99 – $1,471.99 |
| UPMC Horizon-Greenville | Greenville | $2,436.60 | $1,216.43 – $1,216.43 |
| UPMC Jameson | New Castle | $358.80 | $226.31 – $1,216.43 |