Insert swan-ganz cath at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$4,506.00
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.
$7,510.00
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.
$229.35 with Highmark BCBS of PA vs $6,383.50 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $229.35 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $599.06 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $607.01 | ↓ -87% |
| UPMC Health Plan | CHIP | $695.46 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $802.33 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $864.65 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,158.00 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $1,372.76 | ↓ -70% |
| UPMC Health Plan | Commercial | $1,432.40 | ↓ -68% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,519.23 | ↓ -66% |
| Aetna of PA | Medicare | $1,555.07 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.50 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,599.50 | ↓ -65% |
| Aetna | Medicare | $1,629.12 | ↓ -64% |
| Aetna | Neighborhood Network | $2,605.97 | ↓ -42% |
| Aetna | Home Depot Employer Group | $2,831.27 | ↓ -37% |
| Aetna | EBR FI | $2,853.80 | ↓ -37% |
| Aetna | NBR ASO/FI | $2,891.35 | ↓ -36% |
| Cigna | New Business ASO | $2,891.35 | ↓ -36% |
| Aetna | EBR ASO | $3,004.00 | ↓ -33% |
| Cigna | Commercial | $3,004.00 | ↓ -33% |
| InterGroup | PPO | $3,755.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $4,130.50 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $4,506.00 | ↑ +0% |
| Coventry/First Health | Commercial | $5,257.00 | ↑ +17% |
| Private Health Care Systems | PPO | $6,008.00 | ↑ +33% |
| SelectCare | Commercial | $6,008.00 | ↑ +33% |
| Humana | Commercial | $6,383.50 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert swan-ganz cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,641.60 | $227.18 – $2,188.80 |
| UPMC Carlisle | Carlisle | $2,472.00 | $564.44 – $3,502.00 |
| UPMC Cole | Coudersport | $868.20 | $158.84 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $2,472.00 | $570.57 – $3,502.00 |
| UPMC East | Monroeville | $1,654.80 | $229.35 – $2,206.40 |
| UPMC Hamot | Erie | $1,522.20 | $227.18 – $2,154.03 |
| UPMC Hanover | Hanover | $2,472.00 | $570.57 – $2,374.40 |
| UPMC Jameson | New Castle | $2,794.20 | $231.19 – $1,851.28 |