Intro catheter aorta at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$6,850.80
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.
$11,418.00
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.
$122.10 with UPMC Health Plan vs $9,705.30 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 | $122.10 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $122.10 | ↓ -98% |
| Aetna | Medicare | $162.81 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $164.61 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $173.28 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $189.17 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $544.88 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $844.93 | ↓ -88% |
| UPMC Health Plan | Commercial | $1,436.58 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,768.44 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $2,368.38 | ↓ -65% |
| UPMC Health Plan | CHIP | $2,637.99 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,185.44 | ↓ -54% |
| Aetna | Neighborhood Network | $3,962.05 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,266.17 | ↓ -38% |
| Aetna | Home Depot Employer Group | $4,304.59 | ↓ -37% |
| Aetna | EBR FI | $4,338.84 | ↓ -37% |
| Aetna | NBR ASO/FI | $4,395.93 | ↓ -36% |
| Cigna | New Business ASO | $4,395.93 | ↓ -36% |
| Cigna | Commercial | $4,567.20 | ↓ -33% |
| Aetna | EBR ASO | $4,567.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,709.00 | ↓ -17% |
| InterGroup | PPO | $5,709.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $6,850.80 | ↑ +0% |
| Coventry/First Health | Commercial | $7,992.60 | ↑ +17% |
| SelectCare | Commercial | $9,134.40 | ↑ +33% |
| Private Health Care Systems | PPO | $9,134.40 | ↑ +33% |
| Humana | Commercial | $9,705.30 | ↑ +42% |
Visitor-reported prices
Comments
Intro catheter aorta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,882.80 | $111.00 – $2,510.40 |
| UPMC Carlisle | Carlisle | $4,321.20 | $140.97 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,321.20 | $149.85 – $6,121.70 |
| UPMC East | Monroeville | $3,504.60 | $122.10 – $4,672.80 |
| UPMC Hamot | Erie | $3,559.20 | $122.10 – $836.96 |
| UPMC Northwest | Seneca | $3,157.20 | $122.10 – $2,172.24 |
| UPMC Hanover | Hanover | $4,321.20 | $140.97 – $1,016.56 |
| UPMC Jameson | New Castle | $973.20 | $122.10 – $892.40 |