Hepatitis d quantification at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$67.80
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.
?
What you pay up front if you don't use insurance.
$113.00
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.
$16.16 with Highmark BCBS of PA vs $96.05 with Humana — 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 | $16.16 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $28.06 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $37.58 | ↓ -45% |
| Aetna | Neighborhood Network | $39.21 | ↓ -42% |
| UPMC Health Plan | CHIP | $39.55 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $39.71 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $42.34 | ↓ -38% |
| Aetna | Home Depot Employer Group | $42.60 | ↓ -37% |
| Geisinger | Medicaid/CHIP | $42.84 | ↓ -37% |
| Aetna | EBR FI | $42.94 | ↓ -37% |
| Aetna | NBR ASO/FI | $43.51 | ↓ -36% |
| Cigna | New Business ASO | $43.51 | ↓ -36% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $43.95 | ↓ -35% |
| Aetna of PA | Medicare | $44.98 | ↓ -34% |
| Aetna | EBR ASO | $45.20 | ↓ -33% |
| Cigna | Commercial | $45.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $46.27 | ↓ -32% |
| AmeriHealth Caritas | Medicare | $46.27 | ↓ -32% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $46.27 | ↓ -32% |
| Aetna | Medicare | $47.12 | ↓ -31% |
| InterGroup | PPO | $56.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $60.91 | ↓ -10% |
| PA Health & Wellness | PA Medicaid HMO | $62.15 | ↓ -8% |
| UPMC Health Plan | Commercial | $63.49 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $67.80 | ↑ +0% |
| Coventry/First Health | Commercial | $79.10 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $81.58 | ↑ +20% |
| SelectCare | Commercial | $90.40 | ↑ +33% |
| Private Health Care Systems | PPO | $90.40 | ↑ +33% |
| Humana | Commercial | $96.05 | ↑ +42% |
Visitor-reported prices
Comments
Hepatitis d quantification at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $427.20 | $16.00 – $569.60 |
| UPMC Hamot | Erie | $719.40 | $16.00 – $46.27 |
| UPMC Northwest | Seneca | $385.80 | $38.85 – $46.27 |
| UPMC Jameson | New Castle | $321.00 | $16.29 – $46.27 |
| UPMC Magee | Pittsburgh | $330.00 | $16.16 – $47.12 |
| UPMC Passavant-McCandless | Pittsburgh | $429.60 | $16.16 – $49.23 |
| UPMC Presbyterian | Pittsburgh | $627.00 | $16.16 – $49.23 |