Mr elastography at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$543.00
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.
$905.00
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.
$105.67 with Highmark BCBS of PA vs $769.25 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $105.67 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $213.60 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $221.16 | ↓ -59% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $236.40 | ↓ -56% |
| Aetna of PA | Medicare | $241.97 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.89 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.89 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -54% |
| Aetna | Medicare | $253.50 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $275.53 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $296.18 | ↓ -45% |
| Aetna | Neighborhood Network | $314.04 | ↓ -42% |
| UPMC Health Plan | CHIP | $316.75 | ↓ -42% |
| Aetna | Home Depot Employer Group | $341.19 | ↓ -37% |
| Aetna | EBR FI | $343.90 | ↓ -37% |
| Aetna | NBR ASO/FI | $348.43 | ↓ -36% |
| Cigna | New Business ASO | $348.43 | ↓ -36% |
| Aetna | EBR ASO | $362.00 | ↓ -33% |
| Cigna | Commercial | $362.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $398.37 | ↓ -27% |
| InterGroup | PPO | $452.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $497.75 | ↓ -8% |
| UPMC Health Plan | Commercial | $508.52 | ↓ -6% |
| Highmark BCBS of PA | Commercial - Indemnity | $533.52 | ↓ -2% |
| Cigna Behavioral Health | Commercial | $543.00 | ↑ +0% |
| Coventry/First Health | Commercial | $633.50 | ↑ +17% |
| SelectCare | Commercial | $724.00 | ↑ +33% |
| Private Health Care Systems | PPO | $724.00 | ↑ +33% |
| Humana | Commercial | $769.25 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Mr elastography at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $891.60 | $105.67 – $275.53 |
| UPMC Mercy | Pittsburgh | $945.00 | $104.67 – $310.71 |
| UPMC Passavant-McCandless | Pittsburgh | $1,002.60 | $105.67 – $320.38 |
| UPMC Presbyterian | Pittsburgh | $945.00 | $105.67 – $361.29 |