Hydrocolld drg <=16 without bdr at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3.00
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.
$5.00
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.
$0.25 with Aetna vs $75.32 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 | $0.25 | ↓ -92% |
| Aetna | Neighborhood Network | $0.35 | ↓ -88% |
| Aetna | EBR FI | $0.38 | ↓ -87% |
| Aetna | Home Depot Employer Group | $0.38 | ↓ -87% |
| Cigna | New Business ASO | $0.39 | ↓ -87% |
| Aetna | NBR ASO/FI | $0.39 | ↓ -87% |
| Aetna | EBR ASO | $0.40 | ↓ -87% |
| Cigna | Commercial | $0.40 | ↓ -87% |
| InterGroup | PPO | $0.50 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.50 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $0.55 | ↓ -82% |
| Cigna Behavioral Health | Commercial | $0.60 | ↓ -80% |
| Coventry/First Health | Commercial | $0.70 | ↓ -77% |
| Private Health Care Systems | PPO | $0.80 | ↓ -73% |
| SelectCare | Commercial | $0.80 | ↓ -73% |
| Humana | Commercial | $0.85 | ↓ -72% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $11.71 | ↑ +290% |
| UPMC Work Partners | Workers Comp | $15.06 | ↑ +402% |
| UPMC Health Plan | CHIP | $36.57 | ↑ +1119% |
| Highmark BCBS of PA | Managed Care - Social Mission | $43.79 | ↑ +1360% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $44.14 | ↑ +1371% |
| Highmark BCBS of PA | Managed Care | $58.65 | ↑ +1855% |
| Highmark BCBS of PA | Commercial - Indemnity | $59.12 | ↑ +1871% |
| UPMC Health Plan | Commercial | $75.32 | ↑ +2411% |
Visitor-reported prices
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Hydrocolld drg <=16 without bdr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3.60 | $0.50 – $36.57 |
| UPMC Bedford | Everett | $1.80 | $0.25 – $36.57 |
| UPMC East | Monroeville | $3.60 | $0.25 – $36.57 |
| UPMC Hamot | Erie | $3.60 | $11.60 – $15.06 |
| UPMC Northwest | Seneca | $3.00 | $15.06 – $44.25 |
| UPMC Horizon-Greenville | Greenville | $3.60 | $15.06 – $36.57 |
| UPMC Jameson | New Castle | $3.60 | $5.61 – $36.57 |
| UPMC Magee | Pittsburgh | $26.40 | $6.17 – $36.57 |