Liver elastography 91200 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$65.40
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.
$109.00
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.
$13.60 with Highmark BCBS of PA vs $637.02 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 | $13.60 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $28.47 | ↓ -56% |
| UPMC Health Plan | Managed Medicaid | $33.26 | ↓ -49% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $33.26 | ↓ -49% |
| Aetna | Neighborhood Network | $37.82 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $38.13 | ↓ -42% |
| Aetna | Home Depot Employer Group | $41.09 | ↓ -37% |
| Aetna | EBR FI | $41.42 | ↓ -37% |
| Cigna | New Business ASO | $41.97 | ↓ -36% |
| Aetna | NBR ASO/FI | $41.97 | ↓ -36% |
| Aetna | EBR ASO | $43.60 | ↓ -33% |
| Cigna | Commercial | $43.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.85 | ↓ -31% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.21 | ↓ -28% |
| UPMC Work Partners | Workers Comp | $47.85 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $51.29 | ↓ -22% |
| PA Health & Wellness | PA Medicaid HMO | $51.54 | ↓ -21% |
| InterGroup | PPO | $54.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $65.40 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $68.69 | ↑ +5% |
| Coventry/First Health | Commercial | $76.30 | ↑ +17% |
| Private Health Care Systems | PPO | $87.20 | ↑ +33% |
| SelectCare | Commercial | $87.20 | ↑ +33% |
| Humana | Commercial | $92.65 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $138.27 | ↑ +111% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.02 | ↑ +134% |
| Aetna of PA | Medicare | $156.63 | ↑ +139% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.10 | ↑ +146% |
| AmeriHealth Caritas | Medicare | $161.10 | ↑ +146% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↑ +146% |
| Aetna | Medicare | $164.09 | ↑ +151% |
| UPMC Health Plan | CHIP | $309.29 | ↑ +373% |
| UPMC Health Plan | Commercial | $637.02 | ↑ +874% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Liver elastography 91200 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $99.60 | $13.60 – $161.10 |
| UPMC Presbyterian | Pittsburgh | $558.00 | $13.60 – $164.09 |
| UPMC Wellsboro | Wellsboro | $581.60 | $24.22 – $51.54 |
| UPMC Williamsport | Williamsport | $480.60 | $24.22 – $159.61 |
| Uniontown Hospital | Uniontown | $148.00 | $7.72 – $259.04 |