I-123 sod iodide diag per 100 uci at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$356.40
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.
$594.00
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.
$119.20 with Aetna vs $731.94 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 | $119.20 | ↓ -67% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $121.28 | ↓ -66% |
| Aetna | Neighborhood Network | $206.12 | ↓ -42% |
| Aetna | Home Depot Employer Group | $223.94 | ↓ -37% |
| Aetna | EBR FI | $225.72 | ↓ -37% |
| Cigna | New Business ASO | $228.69 | ↓ -36% |
| Aetna | NBR ASO/FI | $228.69 | ↓ -36% |
| Aetna | EBR ASO | $237.60 | ↓ -33% |
| Cigna | Commercial | $237.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $297.00 | ↓ -17% |
| InterGroup | PPO | $297.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $326.70 | ↓ -8% |
| UPMC Health Plan | CHIP | $355.38 | ↓ -0% |
| Cigna Behavioral Health | Commercial | $356.40 | ↑ +0% |
| Coventry/First Health | Commercial | $415.80 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $453.59 | ↑ +27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $457.22 | ↑ +28% |
| Private Health Care Systems | PPO | $475.20 | ↑ +33% |
| SelectCare | Commercial | $475.20 | ↑ +33% |
| Humana | Commercial | $504.90 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $607.50 | ↑ +70% |
| Highmark BCBS of PA | Commercial - Indemnity | $612.35 | ↑ +72% |
| UPMC Health Plan | Commercial | $731.94 | ↑ +105% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
I-123 sod iodide diag per 100 uci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $236.40 | $120.13 – $355.38 |
| UPMC Carlisle | Carlisle | $139.20 | $31.78 – $197.20 |
| UPMC Cole | Coudersport | $83.40 | $38.53 – $111.20 |
| UPMC Community Osteopathic | Harrisburg | $139.20 | $46.40 – $355.38 |
| UPMC Hamot | Erie | $1,122.60 | $85.42 – $307.56 |
| UPMC Northwest | Seneca | $646.80 | $311.79 – $430.04 |
| UPMC Hanover | Hanover | $139.20 | $137.83 – $355.38 |
| UPMC Horizon-Greenville | Greenville | $265.20 | $111.60 – $355.38 |