Inj hrt cath w/s&i sel left vent at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,214.40
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.
?
What you pay up front if you don't use insurance.
$2,024.00
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.
$47.21 with Aetna vs $2,268.72 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $47.21 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $65.53 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $80.60 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $210.52 | ↓ -83% |
| Highmark BCBS of PA | Managed Care | $281.95 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $303.85 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity | $406.94 | ↓ -66% |
| Aetna | Neighborhood Network | $702.33 | ↓ -42% |
| Aetna | Home Depot Employer Group | $763.05 | ↓ -37% |
| Aetna | EBR FI | $769.12 | ↓ -37% |
| Aetna | NBR ASO/FI | $779.24 | ↓ -36% |
| Cigna | New Business ASO | $779.24 | ↓ -36% |
| Aetna | EBR ASO | $809.60 | ↓ -33% |
| Cigna | Commercial | $809.60 | ↓ -33% |
| InterGroup | PPO | $1,012.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,012.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $1,101.52 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $1,113.20 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $1,214.40 | ↑ +0% |
| Coventry/First Health | Commercial | $1,416.80 | ↑ +17% |
| SelectCare | Commercial | $1,619.20 | ↑ +33% |
| Private Health Care Systems | PPO | $1,619.20 | ↑ +33% |
| Humana | Commercial | $1,720.40 | ↑ +42% |
| UPMC Health Plan | Commercial | $2,268.72 | ↑ +87% |
Visitor-reported prices
Comments
Inj hrt cath w/s&i sel left vent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Jameson | New Castle | $1,350.60 | $39.51 – $678.95 |
| UPMC Williamsport | Williamsport | $871.20 | $43.98 – $72.39 |