Incisn windpipe at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,258.40
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.
$3,764.00
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.
$736.75 with Highmark BCBS of PA vs $3,719.96 with Highmark BCBS of PA — 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 BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $813.99 | ↓ -64% |
| UPMC Health Plan | Commercial | $1,261.71 | ↓ -44% |
| Aetna | Neighborhood Network | $1,306.11 | ↓ -42% |
| Aetna | Home Depot Employer Group | $1,419.03 | ↓ -37% |
| Aetna | EBR FI | $1,430.32 | ↓ -37% |
| Aetna | NBR ASO/FI | $1,449.14 | ↓ -36% |
| Cigna | New Business ASO | $1,449.14 | ↓ -36% |
| Aetna | EBR ASO | $1,505.60 | ↓ -33% |
| Cigna | Commercial | $1,505.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,542.02 | ↓ -32% |
| InterGroup | PPO | $1,882.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $2,065.14 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $2,070.20 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $2,258.40 | ↑ +0% |
| UPMC Health Plan | CHIP | $2,316.89 | ↑ +3% |
| Coventry/First Health | Commercial | $2,634.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,777.59 | ↑ +23% |
| UPMC Health Plan | Managed Medicare | $2,865.86 | ↑ +27% |
| SelectCare | Commercial | $3,011.20 | ↑ +33% |
| Private Health Care Systems | PPO | $3,011.20 | ↑ +33% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,171.65 | ↑ +40% |
| Humana | Commercial | $3,199.40 | ↑ +42% |
| Aetna of PA | Medicare | $3,246.47 | ↑ +44% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,339.23 | ↑ +48% |
| AmeriHealth Caritas | Medicare | $3,339.23 | ↑ +48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,339.23 | ↑ +48% |
| Aetna | Medicare | $3,401.07 | ↑ +51% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,719.96 | ↑ +65% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Incisn windpipe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,216.40 | $729.80 – $3,339.23 |
| UPMC Community Osteopathic | Harrisburg | $1,051.20 | $791.68 – $7,348.95 |
| UPMC Hamot | Erie | $3,698.40 | $729.80 – $4,496.91 |
| UPMC Magee | Pittsburgh | $3,277.20 | $736.75 – $3,401.07 |
| UPMC Mercy | Pittsburgh | $2,460.00 | $729.80 – $3,401.07 |
| UPMC Passavant-McCandless | Pittsburgh | $4,334.40 | $736.75 – $3,401.07 |
| UPMC Presbyterian | Pittsburgh | $4,313.40 | $736.75 – $3,401.07 |
| UPMC Somerset | Somerset | $1,051.20 | $285.33 – $308.13 |