Marker biop eviva buckle ss at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$609.00
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.
$1,015.00
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.
$12.50 with Aetna vs $400.34 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 |
|---|---|---|---|
| Aetna | Medicare | $12.50 | ↓ -98% |
| Aetna | Neighborhood Network | $17.35 | ↓ -97% |
| Aetna | Home Depot Employer Group | $18.85 | ↓ -97% |
| Aetna | EBR FI | $19.00 | ↓ -97% |
| Cigna | New Business ASO | $19.25 | ↓ -97% |
| Aetna | NBR ASO/FI | $19.25 | ↓ -97% |
| Aetna | EBR ASO | $20.00 | ↓ -97% |
| Cigna | Commercial | $20.00 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.00 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $25.00 | ↓ -96% |
| InterGroup | PPO | $25.00 | ↓ -96% |
| Highmark BCBS of PA | Managed Care | $26.50 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $26.50 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $27.00 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Indemnity | $27.00 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $27.50 | ↓ -95% |
| Cigna Behavioral Health | Commercial | $30.00 | ↓ -95% |
| Coventry/First Health | Commercial | $35.00 | ↓ -94% |
| Private Health Care Systems | PPO | $40.00 | ↓ -93% |
| SelectCare | Commercial | $40.00 | ↓ -93% |
| Humana | Commercial | $42.50 | ↓ -93% |
| UPMC Health Plan | CHIP | $194.38 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $253.75 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $343.37 | ↓ -44% |
| UPMC Health Plan | Commercial | $400.34 | ↓ -34% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Marker biop eviva buckle ss at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,213.80 | $26.00 – $194.38 |
| UPMC Bedford | Everett | $1,261.20 | $119.89 – $567.90 |
| UPMC Carlisle | Carlisle | $1,213.20 | $2.19 – $13.60 |
| UPMC Cole | Coudersport | $150.00 | $47.50 – $200.00 |
| UPMC Community Osteopathic | Harrisburg | $1,213.20 | $3.20 – $194.38 |
| UPMC East | Monroeville | $1,304.40 | $13.25 – $304.13 |
| UPMC Hamot | Erie | $2,360.40 | $685.00 – $685.00 |
| UPMC Northwest | Seneca | $400.80 | $235.21 – $235.21 |