Injection, pentamidine iseth at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$508.80
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.
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What you pay up front if you don't use insurance.
$636.00
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.
$159.00 with Aetna vs $1,448.77 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $159.00 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $175.85 | ↓ -65% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $210.58 | ↓ -59% |
| Aetna | Neighborhood Network | $220.69 | ↓ -57% |
| Aetna | Home Depot Employer Group | $239.77 | ↓ -53% |
| Aetna | EBR FI | $241.68 | ↓ -53% |
| Cigna | New Business ASO | $244.86 | ↓ -52% |
| Aetna | NBR ASO/FI | $244.86 | ↓ -52% |
| Aetna | EBR ASO | $254.40 | ↓ -50% |
| Cigna | Commercial | $254.40 | ↓ -50% |
| InterGroup | PPO | $318.00 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $318.00 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $349.80 | ↓ -31% |
| Cigna Behavioral Health | Commercial | $381.60 | ↓ -25% |
| Coventry/First Health | Commercial | $445.20 | ↓ -13% |
| Private Health Care Systems | PPO | $508.80 | ↑ +0% |
| SelectCare | Commercial | $508.80 | ↑ +0% |
| Humana | Commercial | $540.60 | ↑ +6% |
| UPMC Health Plan | CHIP | $703.42 | ↑ +38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $787.59 | ↑ +55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $793.90 | ↑ +56% |
| Highmark BCBS of PA | Managed Care | $1,054.82 | ↑ +107% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,063.25 | ↑ +109% |
| UPMC Health Plan | Commercial | $1,448.77 | ↑ +185% |
Visitor-reported prices
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Injection, pentamidine iseth at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $499.20 | $208.59 – $703.42 |
| UPMC East | Monroeville | $508.80 | $76.07 – $703.42 |
| UPMC Hamot | Erie | $1,286.40 | $99.65 – $111.38 |
| UPMC Horizon-Greenville | Greenville | $480.00 | $531.62 – $703.42 |
| UPMC Magee | Pittsburgh | $1,222.20 | $109.61 – $703.42 |
| UPMC Mercy | Pittsburgh | $980.00 | $208.59 – $555.45 |
| UPMC Passavant-McCandless | Pittsburgh | $1,222.20 | $210.58 – $1,020.74 |
| UPMC Presbyterian | Pittsburgh | $1,222.20 | $210.58 – $1,137.30 |