Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$823.80
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.
$1,373.00
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.
$125.40 with UPMC Health Plan vs $1,221.57 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $125.40 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $125.40 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $169.06 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $177.97 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $194.28 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $241.94 | ↓ -71% |
| UPMC Health Plan | Commercial | $348.67 | ↓ -58% |
| UPMC Health Plan | Managed Medicare | $475.67 | ↓ -42% |
| Aetna | Neighborhood Network | $476.43 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $485.58 | ↓ -41% |
| Highmark BCBS of PA | Managed Care - Social Mission | $506.37 | ↓ -39% |
| Aetna | Home Depot Employer Group | $517.62 | ↓ -37% |
| Aetna | EBR FI | $521.74 | ↓ -37% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $526.42 | ↓ -36% |
| Aetna | NBR ASO/FI | $528.61 | ↓ -36% |
| Cigna | New Business ASO | $528.61 | ↓ -36% |
| Aetna of PA | Medicare | $538.84 | ↓ -35% |
| Aetna | EBR ASO | $549.20 | ↓ -33% |
| Cigna | Commercial | $549.20 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $554.23 | ↓ -33% |
| AmeriHealth Caritas | Medicare | $554.23 | ↓ -33% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $554.23 | ↓ -33% |
| Aetna | Medicare | $564.50 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $678.16 | ↓ -18% |
| InterGroup | PPO | $686.50 | ↓ -17% |
| UPMC Health Plan | CHIP | $765.30 | ↓ -7% |
| Cigna Behavioral Health | Commercial | $823.80 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $912.12 | ↑ +11% |
| Coventry/First Health | Commercial | $961.10 | ↑ +17% |
| SelectCare | Commercial | $1,098.40 | ↑ +33% |
| Private Health Care Systems | PPO | $1,098.40 | ↑ +33% |
| Humana | Commercial | $1,167.05 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,221.57 | ↑ +48% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $898.80 | $69.00 – $1,198.40 |
| UPMC Bedford | Everett | $1,032.60 | $119.70 – $1,548.90 |
| UPMC Carlisle | Carlisle | $1,574.40 | $77.13 – $823.87 |
| UPMC Cole | Coudersport | $465.60 | $119.70 – $620.80 |
| UPMC Community Osteopathic | Harrisburg | $1,574.40 | $90.39 – $765.30 |
| UPMC East | Monroeville | $2,203.80 | $125.40 – $2,938.40 |
| UPMC Hamot | Erie | $917.40 | $125.40 – $700.71 |
| UPMC Northwest | Seneca | $763.20 | $125.40 – $538.84 |