Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,013.20
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.
$5,022.00
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.
$561.61 with UPMC Health Plan vs $4,562.16 with Highmark BCBS of PA — 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 | Commercial | $561.61 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $903.55 | ↓ -70% |
| UPMC Health Plan | CHIP | $1,565.31 | ↓ -48% |
| Aetna | Neighborhood Network | $1,742.63 | ↓ -42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,891.13 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,893.29 | ↓ -37% |
| Aetna | EBR FI | $1,908.36 | ↓ -37% |
| Aetna | NBR ASO/FI | $1,933.47 | ↓ -36% |
| Cigna | New Business ASO | $1,933.47 | ↓ -36% |
| Cigna | Commercial | $2,008.80 | ↓ -33% |
| Aetna | EBR ASO | $2,008.80 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $2,374.80 | ↓ -21% |
| InterGroup | PPO | $2,511.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $2,532.69 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $2,762.10 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $2,781.40 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $3,013.20 | ↑ +0% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,078.18 | ↑ +2% |
| Aetna of PA | Medicare | $3,150.80 | ↑ +5% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↑ +8% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.82 | ↑ +8% |
| AmeriHealth Caritas | Medicare | $3,240.82 | ↑ +8% |
| Aetna | Medicare | $3,300.84 | ↑ +10% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,406.44 | ↑ +13% |
| Coventry/First Health | Commercial | $3,515.40 | ↑ +17% |
| Private Health Care Systems | PPO | $4,017.60 | ↑ +33% |
| SelectCare | Commercial | $4,017.60 | ↑ +33% |
| Humana | Commercial | $4,268.70 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,562.16 | ↑ +51% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,532.60 | $895.03 – $3,376.80 |
| UPMC Carlisle | Carlisle | $8,004.00 | $1,016.56 – $11,339.00 |
| UPMC Cole | Coudersport | $3,449.40 | $167.58 – $2,374.80 |
| UPMC Community Osteopathic | Harrisburg | $8,004.00 | $1,016.56 – $11,339.00 |
| UPMC East | Monroeville | $3,746.40 | $903.55 – $4,995.20 |
| UPMC Hamot | Erie | $2,869.80 | $895.03 – $4,364.40 |
| UPMC Hanover | Hanover | $8,004.00 | $1,016.56 – $4,810.90 |
| UPMC Jameson | New Castle | $4,320.00 | $892.40 – $4,051.03 |