Lipoprotein direct measurement hdl at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$63.00
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.
$105.00
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.
$7.59 with UPMC Health Plan vs $89.25 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 Medicare | $7.59 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $7.70 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $7.70 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $8.09 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $8.19 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $8.40 | ↓ -87% |
| Aetna of PA | Medicare | $8.60 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.85 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.85 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $8.85 | ↓ -86% |
| Aetna | Medicare | $9.01 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.38 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.93 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $11.93 | ↓ -81% |
| UPMC Health Plan | Commercial | $14.88 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.97 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $27.73 | ↓ -56% |
| Aetna | Neighborhood Network | $36.44 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $37.14 | ↓ -41% |
| Aetna | Home Depot Employer Group | $39.59 | ↓ -37% |
| Aetna | EBR FI | $39.90 | ↓ -37% |
| Cigna | New Business ASO | $40.42 | ↓ -36% |
| Aetna | NBR ASO/FI | $40.42 | ↓ -36% |
| Aetna | EBR ASO | $42.00 | ↓ -33% |
| Cigna | Commercial | $42.00 | ↓ -33% |
| InterGroup | PPO | $52.50 | ↓ -17% |
| UPMC Health Plan | CHIP | $52.70 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $60.20 | ↓ -4% |
| Cigna Behavioral Health | Commercial | $63.00 | ↑ +0% |
| Coventry/First Health | Commercial | $73.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $80.63 | ↑ +28% |
| Private Health Care Systems | PPO | $84.00 | ↑ +33% |
| SelectCare | Commercial | $84.00 | ↑ +33% |
| Humana | Commercial | $89.25 | ↑ +42% |
Visitor-reported prices
Comments
Lipoprotein direct measurement hdl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $86.40 | $7.00 – $115.20 |
| UPMC Bedford | Everett | $49.80 | $2.95 – $74.70 |
| UPMC Carlisle | Carlisle | $42.00 | $7.00 – $59.50 |
| UPMC Cole | Coudersport | $58.20 | $5.32 – $77.60 |
| UPMC Community Osteopathic | Harrisburg | $42.00 | $7.00 – $52.70 |
| UPMC East | Monroeville | $122.40 | $7.00 – $163.20 |
| UPMC Hamot | Erie | $138.00 | $7.00 – $15.82 |
| UPMC Northwest | Seneca | $45.00 | $7.43 – $8.85 |