Inj prohance multipack at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$110.40
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.
$184.00
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.
$0.89 with UPMC Health Plan vs $156.40 with Humana — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $0.89 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.42 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $1.42 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $1.42 | ↓ -99% |
| Aetna | Medicare | $1.57 | ↓ -99% |
| UPMC Health Plan | Commercial | $1.74 | ↓ -98% |
| UPMC Health Plan | CHIP | $1.77 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $3.97 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $12.91 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $48.29 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $48.67 | ↓ -56% |
| Aetna | Neighborhood Network | $63.85 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $64.67 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Indemnity | $65.19 | ↓ -41% |
| Aetna | Home Depot Employer Group | $69.37 | ↓ -37% |
| Aetna | EBR FI | $69.92 | ↓ -37% |
| Aetna | NBR ASO/FI | $70.84 | ↓ -36% |
| Cigna | New Business ASO | $70.84 | ↓ -36% |
| Aetna | EBR ASO | $73.60 | ↓ -33% |
| Cigna | Commercial | $73.60 | ↓ -33% |
| InterGroup | PPO | $92.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $92.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $110.40 | ↑ +0% |
| Coventry/First Health | Commercial | $128.80 | ↑ +17% |
| SelectCare | Commercial | $147.20 | ↑ +33% |
| Private Health Care Systems | PPO | $147.20 | ↑ +33% |
| Humana | Commercial | $156.40 | ↑ +42% |
Visitor-reported prices
Comments
Inj prohance multipack at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $43.80 | $0.89 – $58.40 |
| UPMC Hamot | Erie | $55.80 | $0.89 – $4.16 |
| UPMC Northwest | Seneca | $10.80 | $0.89 – $33.19 |
| UPMC Horizon-Greenville | Greenville | $25.20 | $0.89 – $32.59 |
| UPMC Magee | Pittsburgh | $38.40 | $0.89 – $12.91 |
| UPMC Mercy | Pittsburgh | $34.80 | $0.89 – $12.79 |
| UPMC Passavant-McCandless | Pittsburgh | $40.80 | $0.89 – $12.91 |
| UPMC Presbyterian | Pittsburgh | $138.00 | $0.89 – $12.91 |