Lymphocyte transformation mitogen at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$516.00
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.
$860.00
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.
$45.45 with UPMC Health Plan vs $731.00 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 | $45.45 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $48.45 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $49.03 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $50.29 | ↓ -90% |
| Aetna of PA | Medicare | $51.48 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $52.95 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $52.95 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $52.95 | ↓ -90% |
| Aetna | Medicare | $53.93 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $74.53 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $74.53 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $100.47 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $105.76 | ↓ -80% |
| UPMC Health Plan | Commercial | $112.10 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $115.46 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $134.51 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $233.58 | ↓ -55% |
| Aetna | Neighborhood Network | $298.42 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $312.83 | ↓ -39% |
| Aetna | Home Depot Employer Group | $324.22 | ↓ -37% |
| Aetna | EBR FI | $326.80 | ↓ -37% |
| Cigna | New Business ASO | $331.10 | ↓ -36% |
| Aetna | NBR ASO/FI | $331.10 | ↓ -36% |
| Aetna | EBR ASO | $344.00 | ↓ -33% |
| Cigna | Commercial | $344.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $396.98 | ↓ -23% |
| InterGroup | PPO | $430.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $507.10 | ↓ -2% |
| Cigna Behavioral Health | Commercial | $516.00 | ↑ +0% |
| Coventry/First Health | Commercial | $602.00 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $679.15 | ↑ +32% |
| Private Health Care Systems | PPO | $688.00 | ↑ +33% |
| SelectCare | Commercial | $688.00 | ↑ +33% |
| Humana | Commercial | $731.00 | ↑ +42% |
Visitor-reported prices
Comments
Lymphocyte transformation mitogen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $630.00 | $48.45 – $800.00 |
| UPMC Bedford | Everett | $816.60 | $17.69 – $1,224.90 |
| UPMC Carlisle | Carlisle | $272.40 | $48.54 – $385.90 |
| UPMC Community Osteopathic | Harrisburg | $272.40 | $48.54 – $396.98 |
| UPMC East | Monroeville | $453.00 | $48.45 – $604.00 |
| UPMC Hamot | Erie | $499.20 | $48.45 – $133.24 |
| UPMC Northwest | Seneca | $453.00 | $44.47 – $77.91 |
| UPMC Hanover | Hanover | $272.40 | $48.54 – $92.28 |