Mopath procedure level 3 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$2,046.60
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.
$3,411.00
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.
$102.88 with UPMC Health Plan vs $2,407.20 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 | Commercial | $102.88 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $139.34 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $148.57 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $150.33 | ↓ -93% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $154.21 | ↓ -92% |
| Aetna of PA | Medicare | $157.85 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $162.36 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $162.36 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $162.36 | ↓ -92% |
| Aetna | Medicare | $165.36 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $315.03 | ↓ -85% |
| UPMC Health Plan | CHIP | $364.34 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $547.05 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $732.66 | ↓ -64% |
| Aetna | Neighborhood Network | $982.70 | ↓ -52% |
| Aetna | Home Depot Employer Group | $1,067.66 | ↓ -48% |
| Aetna | EBR FI | $1,076.16 | ↓ -47% |
| Aetna | NBR ASO/FI | $1,090.32 | ↓ -47% |
| Cigna | New Business ASO | $1,090.32 | ↓ -47% |
| Cigna | Commercial | $1,132.80 | ↓ -45% |
| Aetna | EBR ASO | $1,132.80 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,187.67 | ↓ -42% |
| InterGroup | PPO | $1,416.00 | ↓ -31% |
| PA Health & Wellness | PA Medicaid HMO | $1,557.60 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,590.61 | ↓ -22% |
| Cigna Behavioral Health | Commercial | $1,699.20 | ↓ -17% |
| Coventry/First Health | Commercial | $1,982.40 | ↓ -3% |
| Private Health Care Systems | PPO | $2,265.60 | ↑ +11% |
| SelectCare | Commercial | $2,265.60 | ↑ +11% |
| Humana | Commercial | $2,407.20 | ↑ +18% |
Visitor-reported prices
Comments
Mopath procedure level 3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,780.80 | $148.57 – $504.80 |
| UPMC Bedford | Everett | $1,366.20 | $54.24 – $1,841.40 |
| UPMC Cole | Coudersport | $828.60 | $53.00 – $1,104.80 |
| UPMC East | Monroeville | $1,699.20 | $100.22 – $624.00 |
| UPMC Hamot | Erie | $1,301.40 | $148.57 – $312.06 |
| UPMC Northwest | Seneca | $2,046.60 | $101.16 – $162.36 |
| UPMC Horizon-Greenville | Greenville | $1,718.40 | $101.48 – $282.09 |
| UPMC Jameson | New Castle | $2,046.60 | $105.45 – $317.56 |