Insertion picc without port or pump with imaging guidance=>5y at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,515.80
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.
$4,193.00
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.
$76.74 with United Healthcare Community Plan for Families vs $3,564.05 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $76.74 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $76.74 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $103.45 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $108.90 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $118.88 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $235.74 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $463.20 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $493.41 | ↓ -80% |
| Highmark BCBS of PA | Managed Care | $660.80 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $888.77 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,190.31 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $1,372.76 | ↓ -45% |
| Aetna | Neighborhood Network | $1,454.97 | ↓ -42% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,519.23 | ↓ -40% |
| Aetna of PA | Medicare | $1,555.07 | ↓ -38% |
| Aetna | Home Depot Employer Group | $1,580.76 | ↓ -37% |
| Aetna | EBR FI | $1,593.34 | ↓ -37% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,599.50 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↓ -36% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.50 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,614.31 | ↓ -36% |
| Cigna | New Business ASO | $1,614.31 | ↓ -36% |
| Aetna | Medicare | $1,629.12 | ↓ -35% |
| Aetna | EBR ASO | $1,677.20 | ↓ -33% |
| Cigna | Commercial | $1,677.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $1,838.02 | ↓ -27% |
| InterGroup | PPO | $2,096.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $2,515.80 | ↑ +0% |
| Coventry/First Health | Commercial | $2,935.10 | ↑ +17% |
| SelectCare | Commercial | $3,354.40 | ↑ +33% |
| Private Health Care Systems | PPO | $3,354.40 | ↑ +33% |
| UPMC Health Plan | CHIP | $3,375.18 | ↑ +34% |
| Humana | Commercial | $3,564.05 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insertion picc without port or pump with imaging guidance=>5y at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,267.20 | $69.76 – $1,689.60 |
| UPMC Bedford | Everett | $4,026.00 | $73.25 – $6,039.00 |
| UPMC Carlisle | Carlisle | $3,925.80 | $88.60 – $5,561.55 |
| UPMC Cole | Coudersport | $1,358.40 | $61.54 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $3,925.80 | $88.60 – $5,561.55 |
| UPMC East | Monroeville | $3,017.40 | $76.74 – $4,023.20 |
| UPMC Hamot | Erie | $1,284.00 | $76.74 – $2,154.03 |
| UPMC Northwest | Seneca | $1,239.00 | $76.74 – $1,555.07 |