Inj., evomela, 1 mg at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$106.80
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.
$178.00
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.
$11.68 with UPMC Health Plan vs $173.48 with Highmark BCBS of PA — 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 Medicaid | $11.68 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $17.15 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.50 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $18.50 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $18.50 | ↓ -83% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $18.98 | ↓ -82% |
| UPMC Health Plan | CHIP | $19.13 | ↓ -82% |
| Aetna of PA | Medicare | $19.43 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.98 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $19.98 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.98 | ↓ -81% |
| Aetna | Medicare | $20.35 | ↓ -81% |
| UPMC Health Plan | Commercial | $22.75 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $34.36 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $49.22 | ↓ -54% |
| Aetna | Neighborhood Network | $61.77 | ↓ -42% |
| Aetna | Home Depot Employer Group | $67.11 | ↓ -37% |
| Aetna | EBR FI | $67.64 | ↓ -37% |
| Cigna | New Business ASO | $68.53 | ↓ -36% |
| Aetna | NBR ASO/FI | $68.53 | ↓ -36% |
| Aetna | EBR ASO | $71.20 | ↓ -33% |
| Cigna | Commercial | $71.20 | ↓ -33% |
| InterGroup | PPO | $89.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $106.80 | ↑ +0% |
| Coventry/First Health | Commercial | $124.60 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $128.51 | ↑ +20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $129.53 | ↑ +21% |
| SelectCare | Commercial | $142.40 | ↑ +33% |
| Private Health Care Systems | PPO | $142.40 | ↑ +33% |
| Humana | Commercial | $151.30 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $172.11 | ↑ +61% |
| Highmark BCBS of PA | Commercial - Indemnity | $173.48 | ↑ +62% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj., evomela, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $97.80 | $11.68 – $34.36 |
| UPMC Williamsport | Williamsport | $105.60 | $18.50 – $19.80 |