Home sleep test/type 3 porta at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,111.20
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.
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What you pay up front if you don't use insurance.
$1,852.00
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.
$138.27 with UPMC Health Plan vs $1,699.29 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $138.27 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.02 | ↓ -86% |
| Aetna of PA | Medicare | $156.63 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.10 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $161.10 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↓ -86% |
| Aetna | Medicare | $164.09 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $225.18 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $588.18 | ↓ -47% |
| Aetna | Neighborhood Network | $642.64 | ↓ -42% |
| Aetna | Home Depot Employer Group | $698.20 | ↓ -37% |
| Aetna | EBR FI | $703.76 | ↓ -37% |
| Cigna | New Business ASO | $713.02 | ↓ -36% |
| Aetna | NBR ASO/FI | $713.02 | ↓ -36% |
| Aetna | EBR ASO | $740.80 | ↓ -33% |
| Cigna | Commercial | $740.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $787.75 | ↓ -29% |
| UPMC Health Plan | CHIP | $825.05 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $848.94 | ↓ -24% |
| InterGroup | PPO | $926.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $1,018.60 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $1,111.20 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,136.96 | ↑ +2% |
| Coventry/First Health | Commercial | $1,296.40 | ↑ +17% |
| SelectCare | Commercial | $1,481.60 | ↑ +33% |
| Private Health Care Systems | PPO | $1,481.60 | ↑ +33% |
| Humana | Commercial | $1,574.20 | ↑ +42% |
| UPMC Health Plan | Commercial | $1,699.29 | ↑ +53% |
| 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
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Home sleep test/type 3 porta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,649.40 | $152.12 – $2,199.20 |
| UPMC Bedford | Everett | $1,543.20 | $53.82 – $2,314.80 |
| UPMC Carlisle | Carlisle | $984.00 | $82.32 – $1,394.00 |
| UPMC East | Monroeville | $1,350.60 | $149.57 – $1,800.80 |
| UPMC Hamot | Erie | $1,242.60 | $115.25 – $288.29 |
| UPMC Hanover | Hanover | $984.00 | $116.21 – $825.05 |
| UPMC Horizon-Greenville | Greenville | $1,102.20 | $133.55 – $279.92 |
| UPMC Jameson | New Castle | $1,240.80 | $102.02 – $226.99 |