Path clin consltj sf 5-20 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$198.60
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.
$331.00
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.
$11.09 with Highmark BCBS of PA vs $220.15 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 | $11.09 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $19.26 | ↓ -90% |
| Highmark BCBS of PA | Managed Care | $25.79 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $27.31 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $41.81 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $47.22 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $50.94 | ↓ -74% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $52.25 | ↓ -74% |
| Aetna of PA | Medicare | $53.49 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.02 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $55.02 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.02 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity | $56.00 | ↓ -72% |
| Aetna | Medicare | $56.03 | ↓ -72% |
| Aetna | Neighborhood Network | $89.87 | ↓ -55% |
| UPMC Health Plan | Commercial | $96.60 | ↓ -51% |
| Aetna | Home Depot Employer Group | $97.64 | ↓ -51% |
| Aetna | EBR FI | $98.42 | ↓ -50% |
| Aetna | NBR ASO/FI | $99.72 | ↓ -50% |
| Cigna | New Business ASO | $99.72 | ↓ -50% |
| Aetna | EBR ASO | $103.60 | ↓ -48% |
| Cigna | Commercial | $103.60 | ↓ -48% |
| InterGroup | PPO | $129.50 | ↓ -35% |
| PA Health & Wellness | PA Medicaid HMO | $142.45 | ↓ -28% |
| Cigna Behavioral Health | Commercial | $155.40 | ↓ -22% |
| Coventry/First Health | Commercial | $181.30 | ↓ -9% |
| UPMC Health Plan | CHIP | $193.20 | ↓ -3% |
| Private Health Care Systems | PPO | $207.20 | ↑ +4% |
| SelectCare | Commercial | $207.20 | ↑ +4% |
| Humana | Commercial | $220.15 | ↑ +11% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Path clin consltj sf 5-20 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $503.40 | $10.99 – $253.60 |
| UPMC Bedford | Everett | $198.60 | $18.38 – $297.90 |
| UPMC Carlisle | Carlisle | $98.40 | $22.47 – $139.40 |
| UPMC Community Osteopathic | Harrisburg | $98.40 | $28.58 – $193.20 |
| UPMC East | Monroeville | $198.60 | $11.09 – $264.80 |
| UPMC Hamot | Erie | $189.60 | $10.99 – $63.49 |
| UPMC Northwest | Seneca | $198.60 | $27.31 – $55.02 |
| UPMC Hanover | Hanover | $98.40 | $28.58 – $193.20 |