Ins pq tunnld ip cath w/img at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$11,504.40
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.
$19,174.00
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.
$2,234.51 with UPMC Work Partners vs $16,297.90 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 Work Partners | Workers Comp | $2,234.51 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,747.85 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $3,118.59 | ↓ -73% |
| UPMC Health Plan | Commercial | $3,161.68 | ↓ -73% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,451.35 | ↓ -70% |
| Aetna of PA | Medicare | $3,532.77 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,633.70 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $3,633.70 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,633.70 | ↓ -68% |
| Aetna | Medicare | $3,700.99 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,751.23 | ↓ -50% |
| Aetna | Neighborhood Network | $6,653.38 | ↓ -42% |
| Aetna | Home Depot Employer Group | $7,228.60 | ↓ -37% |
| Aetna | EBR FI | $7,286.12 | ↓ -37% |
| Cigna | New Business ASO | $7,381.99 | ↓ -36% |
| Aetna | NBR ASO/FI | $7,381.99 | ↓ -36% |
| Aetna | EBR ASO | $7,669.60 | ↓ -33% |
| Cigna | Commercial | $7,669.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $7,702.33 | ↓ -33% |
| UPMC Health Plan | CHIP | $8,812.16 | ↓ -23% |
| InterGroup | PPO | $9,587.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,359.54 | ↓ -10% |
| PA Health & Wellness | PA Medicaid HMO | $10,545.70 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $11,504.40 | ↑ +0% |
| Coventry/First Health | Commercial | $13,421.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $13,874.28 | ↑ +21% |
| SelectCare | Commercial | $15,339.20 | ↑ +33% |
| Private Health Care Systems | PPO | $15,339.20 | ↑ +33% |
| Humana | Commercial | $16,297.90 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ins pq tunnld ip cath w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,305.00 | $2,234.51 – $9,740.00 |
| UPMC Carlisle | Carlisle | $11,758.20 | $1,016.56 – $16,657.45 |
| UPMC Cole | Coudersport | $358.80 | $165.77 – $2,234.51 |
| UPMC Community Osteopathic | Harrisburg | $11,758.20 | $1,016.56 – $16,657.45 |
| UPMC East | Monroeville | $11,393.40 | $2,234.51 – $15,191.20 |
| UPMC Hamot | Erie | $5,742.00 | $2,234.51 – $4,893.48 |
| UPMC Northwest | Seneca | $8,416.80 | $2,234.51 – $3,633.70 |
| UPMC Hanover | Hanover | $11,758.20 | $1,016.56 – $8,812.16 |