Infect ag genotype na hiv-1 revr trn/prt at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,052.80
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.
$5,088.00
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.
$238.63 with UPMC Health Plan vs $4,324.80 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $238.63 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $254.45 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $257.45 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $264.09 | ↓ -91% |
| Aetna of PA | Medicare | $270.32 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $278.05 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $278.05 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $278.05 | ↓ -91% |
| Aetna | Medicare | $283.19 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $313.08 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $313.08 | ↓ -90% |
| UPMC Health Plan | Commercial | $350.02 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $422.09 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $444.32 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $485.05 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $689.88 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,197.99 | ↓ -61% |
| UPMC Health Plan | CHIP | $1,239.56 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $1,604.45 | ↓ -47% |
| Aetna | Neighborhood Network | $1,765.54 | ↓ -42% |
| Aetna | Home Depot Employer Group | $1,918.18 | ↓ -37% |
| Aetna | EBR FI | $1,933.44 | ↓ -37% |
| Cigna | New Business ASO | $1,958.88 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,958.88 | ↓ -36% |
| Aetna | EBR ASO | $2,035.20 | ↓ -33% |
| Cigna | Commercial | $2,035.20 | ↓ -33% |
| InterGroup | PPO | $2,544.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,600.87 | ↓ -15% |
| Cigna Behavioral Health | Commercial | $3,052.80 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,483.28 | ↑ +14% |
| Coventry/First Health | Commercial | $3,561.60 | ↑ +17% |
| Private Health Care Systems | PPO | $4,070.40 | ↑ +33% |
| SelectCare | Commercial | $4,070.40 | ↑ +33% |
| Humana | Commercial | $4,324.80 | ↑ +42% |
Visitor-reported prices
Comments
Infect ag genotype na hiv-1 revr trn/prt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,403.60 | $254.45 – $3,204.80 |
| UPMC Bedford | Everett | $4,483.20 | $92.89 – $6,724.80 |
| UPMC Carlisle | Carlisle | $1,431.00 | $193.10 – $2,027.25 |
| UPMC Community Osteopathic | Harrisburg | $1,431.00 | $254.88 – $2,027.25 |
| UPMC East | Monroeville | $5,280.00 | $254.45 – $7,040.00 |
| UPMC Hamot | Erie | $1,336.20 | $254.45 – $683.37 |
| UPMC Northwest | Seneca | $2,065.80 | $233.48 – $327.31 |
| UPMC Hanover | Hanover | $1,431.00 | $193.10 – $411.92 |