Injection(s) tendon sheath/ligament aponeurosis single (both sides) at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$815.40
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.
$1,359.00
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.
$35.20 with United Healthcare Community Plan for Families vs $1,155.15 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $35.20 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $35.20 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.46 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.96 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $54.53 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $103.42 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $206.41 | ↓ -75% |
| UPMC Health Plan | Commercial | $234.73 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $260.86 | ↓ -68% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $288.69 | ↓ -65% |
| Aetna of PA | Medicare | $295.50 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $303.94 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $303.94 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $303.94 | ↓ -63% |
| Aetna | Medicare | $309.57 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $432.02 | ↓ -47% |
| Aetna | Neighborhood Network | $471.57 | ↓ -42% |
| Aetna | Home Depot Employer Group | $512.34 | ↓ -37% |
| Aetna | EBR FI | $516.42 | ↓ -37% |
| Cigna | New Business ASO | $523.22 | ↓ -36% |
| Aetna | NBR ASO/FI | $523.22 | ↓ -36% |
| Aetna | EBR ASO | $543.60 | ↓ -33% |
| Cigna | Commercial | $543.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $578.59 | ↓ -29% |
| UPMC Health Plan | CHIP | $654.25 | ↓ -20% |
| InterGroup | PPO | $679.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $778.20 | ↓ -5% |
| Cigna Behavioral Health | Commercial | $815.40 | ↑ +0% |
| Coventry/First Health | Commercial | $951.30 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,042.22 | ↑ +28% |
| Private Health Care Systems | PPO | $1,087.20 | ↑ +33% |
| SelectCare | Commercial | $1,087.20 | ↑ +33% |
| Humana | Commercial | $1,155.15 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) tendon sheath/ligament aponeurosis single (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $909.00 | $32.00 – $1,212.00 |
| UPMC Bedford | Everett | $680.40 | $33.60 – $1,020.60 |
| UPMC Carlisle | Carlisle | $894.60 | $40.64 – $1,267.35 |
| UPMC Cole | Coudersport | $478.20 | $14.69 – $98.03 |
| UPMC Community Osteopathic | Harrisburg | $894.60 | $40.64 – $1,267.35 |
| UPMC Hamot | Erie | $1,162.20 | $35.20 – $409.31 |
| UPMC Northwest | Seneca | $1,294.20 | $35.20 – $295.50 |
| UPMC Hanover | Hanover | $894.60 | $40.64 – $451.20 |