Lead ingevity 45cm pfret MRI at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$6,097.20
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.
$10,162.00
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.
$772.52 with Highmark BCBS of PA vs $10,095.16 with UPMC Health Plan — 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 | $772.52 | ↓ -87% |
| Aetna | Medicare | $1,510.06 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,540.50 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,889.29 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,912.43 | ↓ -52% |
| PA Health & Wellness | PA Medicaid HMO | $3,353.46 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,437.80 | ↓ -44% |
| Aetna | Neighborhood Network | $3,526.21 | ↓ -42% |
| Aetna | Home Depot Employer Group | $3,831.07 | ↓ -37% |
| Aetna | EBR FI | $3,861.56 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $3,869.63 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,900.54 | ↓ -36% |
| Cigna | New Business ASO | $3,912.37 | ↓ -36% |
| Aetna | NBR ASO/FI | $3,912.37 | ↓ -36% |
| Aetna | EBR ASO | $4,064.80 | ↓ -33% |
| Cigna | Commercial | $4,064.80 | ↓ -33% |
| UPMC Health Plan | CHIP | $4,901.46 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,081.00 | ↓ -17% |
| InterGroup | PPO | $5,081.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $6,097.20 | ↑ +0% |
| Coventry/First Health | Commercial | $7,113.40 | ↑ +17% |
| Private Health Care Systems | PPO | $8,129.60 | ↑ +33% |
| SelectCare | Commercial | $8,129.60 | ↑ +33% |
| Humana | Commercial | $8,637.70 | ↑ +42% |
| UPMC Health Plan | Commercial | $10,095.16 | ↑ +66% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Lead ingevity 45cm pfret MRI at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,825.80 | $212.42 – $4,901.46 |
| UPMC Bedford | Everett | $1,224.60 | $257.83 – $4,901.46 |
| UPMC Cole | Coudersport | $691.20 | $218.88 – $921.60 |
| UPMC Community Osteopathic | Harrisburg | $2,715.00 | $905.00 – $4,901.46 |
| UPMC East | Monroeville | $6,252.00 | $227.43 – $4,901.46 |
| UPMC Hamot | Erie | $7,595.40 | $765.23 – $765.23 |
| UPMC Northwest | Seneca | $1,296.60 | $1,986.07 – $5,931.20 |
| UPMC Jameson | New Castle | $2,767.20 | $778.73 – $4,901.46 |