Pr cystourethroscopy with insertion indwelling ureteral stent at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,787.80
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.
$6,313.00
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.
$158.09 with UPMC Health Plan vs $5,366.05 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 | Managed Medicaid | $158.09 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $158.09 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $213.14 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $224.36 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $244.93 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $683.18 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | ↓ -81% |
| UPMC Health Plan | Commercial | $831.25 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,542.02 | ↓ -59% |
| Highmark BCBS of PA | Managed Care | $2,065.14 | ↓ -45% |
| Aetna | Neighborhood Network | $2,190.61 | ↓ -42% |
| UPMC Health Plan | CHIP | $2,316.83 | ↓ -39% |
| Aetna | Home Depot Employer Group | $2,380.00 | ↓ -37% |
| Aetna | EBR FI | $2,398.94 | ↓ -37% |
| Cigna | New Business ASO | $2,430.51 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,430.51 | ↓ -36% |
| Aetna | EBR ASO | $2,525.20 | ↓ -33% |
| Cigna | Commercial | $2,525.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,777.59 | ↓ -27% |
| UPMC Health Plan | Managed Medicare | $3,047.81 | ↓ -20% |
| InterGroup | PPO | $3,156.50 | ↓ -17% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,373.02 | ↓ -11% |
| Aetna of PA | Medicare | $3,452.59 | ↓ -9% |
| AmeriHealth Caritas | Medicare | $3,551.23 | ↓ -6% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,551.23 | ↓ -6% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,551.23 | ↓ -6% |
| Aetna | Medicare | $3,617.00 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,719.96 | ↓ -2% |
| Cigna Behavioral Health | Commercial | $3,787.80 | ↑ +0% |
| Coventry/First Health | Commercial | $4,419.10 | ↑ +17% |
| Private Health Care Systems | PPO | $5,050.40 | ↑ +33% |
| SelectCare | Commercial | $5,050.40 | ↑ +33% |
| Humana | Commercial | $5,366.05 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pr cystourethroscopy with insertion indwelling ureteral stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,764.60 | $143.72 – $6,352.80 |
| UPMC Cole | Coudersport | $639.00 | $150.91 – $1,041.88 |
| UPMC East | Monroeville | $4,170.00 | $158.09 – $5,560.00 |
| UPMC Hamot | Erie | $4,273.20 | $158.09 – $4,782.42 |
| UPMC Horizon-Greenville | Greenville | $3,521.40 | $158.09 – $3,551.23 |
| UPMC Jameson | New Castle | $3,688.80 | $158.09 – $4,439.04 |
| UPMC Kane | Kane | $3,071.40 | $158.09 – $1,670.55 |
| UPMC Magee | Pittsburgh | $3,570.00 | $158.09 – $3,551.23 |