Mopath procedure level 9 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$348.60
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.
$581.00
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.
$201.61 with Aetna vs $12,984.41 with Highmark BCBS of PA — 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 | Neighborhood Network | $201.61 | ↓ -42% |
| Aetna | Home Depot Employer Group | $219.04 | ↓ -37% |
| Aetna | EBR FI | $220.78 | ↓ -37% |
| Aetna | NBR ASO/FI | $223.69 | ↓ -36% |
| Cigna | New Business ASO | $223.69 | ↓ -36% |
| Aetna | EBR ASO | $232.40 | ↓ -33% |
| Cigna | Commercial | $232.40 | ↓ -33% |
| InterGroup | PPO | $290.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $319.55 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $348.60 | ↑ +0% |
| Coventry/First Health | Commercial | $406.70 | ↑ +17% |
| SelectCare | Commercial | $464.80 | ↑ +33% |
| Private Health Care Systems | PPO | $464.80 | ↑ +33% |
| Humana | Commercial | $493.85 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $1,853.80 | ↑ +432% |
| UPMC Work Partners | Workers Comp | $1,976.64 | ↑ +467% |
| Geisinger | Medicaid/CHIP | $2,000.00 | ↑ +474% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,051.60 | ↑ +489% |
| Aetna of PA | Medicare | $2,100.00 | ↑ +502% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,160.00 | ↑ +520% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,160.00 | ↑ +520% |
| AmeriHealth Caritas | Medicare | $2,160.00 | ↑ +520% |
| Aetna | Medicare | $2,200.00 | ↑ +531% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,571.61 | ↑ +638% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,465.68 | ↑ +1181% |
| UPMC Health Plan | Commercial | $5,217.33 | ↑ +1397% |
| Highmark BCBS of PA | Managed Care | $5,980.83 | ↑ +1616% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9,695.11 | ↑ +2681% |
| UPMC Health Plan | CHIP | $10,435.04 | ↑ +2893% |
| Highmark BCBS of PA | Commercial - Indemnity | $12,984.41 | ↑ +3625% |
Visitor-reported prices
Comments
Mopath procedure level 9 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,734.20 | $268.50 – $2,547.36 |
| UPMC East | Monroeville | $369.60 | $203.28 – $2,571.61 |
| UPMC Hamot | Erie | $8,462.40 | $1,976.64 – $2,547.36 |
| UPMC Northwest | Seneca | $3,327.60 | $1,813.80 – $2,160.00 |
| UPMC Horizon-Greenville | Greenville | $1,947.00 | $1,790.60 – $3,753.00 |
| UPMC Jameson | New Castle | $8,332.80 | $1,403.00 – $2,592.31 |
| UPMC Magee | Pittsburgh | $10,515.00 | $1,871.80 – $2,571.61 |
| UPMC Mercy | Pittsburgh | $1,947.00 | $1,667.20 – $2,547.36 |