Insert and remove bone pin at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,505.20
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.
$5,842.00
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.
$152.49 with UPMC Health Plan vs $4,965.70 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 | $152.49 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $152.49 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $205.59 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $216.42 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $236.25 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $345.83 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $844.93 | ↓ -76% |
| UPMC Health Plan | Commercial | $945.91 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,768.44 | ↓ -50% |
| Aetna | Neighborhood Network | $2,027.17 | ↓ -42% |
| Aetna | Home Depot Employer Group | $2,202.43 | ↓ -37% |
| Aetna | EBR FI | $2,219.96 | ↓ -37% |
| Cigna | New Business ASO | $2,249.17 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,249.17 | ↓ -36% |
| Cigna | Commercial | $2,336.80 | ↓ -33% |
| Aetna | EBR ASO | $2,336.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $2,368.38 | ↓ -32% |
| UPMC Health Plan | CHIP | $2,636.42 | ↓ -25% |
| UPMC Health Plan | Managed Medicare | $2,867.23 | ↓ -18% |
| InterGroup | PPO | $2,921.00 | ↓ -17% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,173.16 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,185.44 | ↓ -9% |
| Aetna of PA | Medicare | $3,248.02 | ↓ -7% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,340.82 | ↓ -5% |
| AmeriHealth Caritas | Medicare | $3,340.82 | ↓ -5% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,340.82 | ↓ -5% |
| Aetna | Medicare | $3,402.68 | ↓ -3% |
| Cigna Behavioral Health | Commercial | $3,505.20 | ↑ +0% |
| Coventry/First Health | Commercial | $4,089.40 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,266.17 | ↑ +22% |
| SelectCare | Commercial | $4,673.60 | ↑ +33% |
| Private Health Care Systems | PPO | $4,673.60 | ↑ +33% |
| Humana | Commercial | $4,965.70 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert and remove bone pin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,397.60 | $138.63 – $7,196.80 |
| UPMC Mercy | Pittsburgh | $3,639.60 | $152.49 – $3,402.68 |
| UPMC Presbyterian | Pittsburgh | $5,790.60 | $152.49 – $3,402.68 |
| UPMC Williamsport | Williamsport | $5,275.20 | $152.49 – $3,309.88 |
| Uniontown Hospital | Uniontown | $4,421.00 | $105.00 – $6,587.02 |