Intrvasc Ultrasound noncoronary 1st vessel at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$6,549.60
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.
$10,916.00
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.
$103.78 with Aetna vs $9,278.60 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 |
|---|---|---|---|
| Aetna | Medicare | $103.78 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $938.19 | ↓ -86% |
| UPMC Health Plan | Commercial | $1,041.41 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $1,779.97 | ↓ -73% |
| UPMC Health Plan | CHIP | $1,912.34 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,963.63 | ↓ -70% |
| Highmark BCBS of PA | Managed Care | $2,629.79 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,537.04 | ↓ -46% |
| Aetna | Neighborhood Network | $3,787.85 | ↓ -42% |
| Aetna | Home Depot Employer Group | $4,115.33 | ↓ -37% |
| Aetna | EBR FI | $4,148.08 | ↓ -37% |
| Aetna | NBR ASO/FI | $4,202.66 | ↓ -36% |
| Cigna | New Business ASO | $4,202.66 | ↓ -36% |
| Aetna | EBR ASO | $4,366.40 | ↓ -33% |
| Cigna | Commercial | $4,366.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,737.07 | ↓ -28% |
| InterGroup | PPO | $5,458.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,458.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $6,003.80 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $6,549.60 | ↑ +0% |
| Coventry/First Health | Commercial | $7,641.20 | ↑ +17% |
| Private Health Care Systems | PPO | $8,732.80 | ↑ +33% |
| SelectCare | Commercial | $8,732.80 | ↑ +33% |
| Humana | Commercial | $9,278.60 | ↑ +42% |
Visitor-reported prices
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Intrvasc Ultrasound noncoronary 1st vessel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,361.40 | $929.34 – $9,815.20 |
| UPMC Carlisle | Carlisle | $6,337.80 | $70.41 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $6,337.80 | $70.41 – $8,978.55 |
| UPMC East | Monroeville | $2,767.20 | $938.19 – $3,689.60 |
| UPMC Hamot | Erie | $4,063.80 | $929.34 – $2,374.24 |
| UPMC Hanover | Hanover | $6,337.80 | $70.41 – $1,912.34 |
| UPMC Lititz | Lititz | $6,337.80 | $70.41 – $1,912.34 |
| UPMC Magee | Pittsburgh | $4,214.40 | $103.78 – $1,779.97 |