Pr egd flexible transoral w/placement percutaneous gastrostomy tube at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,033.60
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.
?
What you pay up front if you don't use insurance.
$5,056.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$736.75 with Highmark BCBS of PA vs $4,297.60 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $736.75 | ↓ -76% |
| UPMC Health Plan | Commercial | $830.82 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $1,041.46 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,542.02 | ↓ -49% |
| UPMC Health Plan | Managed Medicare | $1,676.34 | ↓ -45% |
| Aetna | Neighborhood Network | $1,754.43 | ↓ -42% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,855.21 | ↓ -39% |
| Aetna of PA | Medicare | $1,898.98 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,906.11 | ↓ -37% |
| Aetna | EBR FI | $1,921.28 | ↓ -37% |
| Cigna | New Business ASO | $1,946.56 | ↓ -36% |
| Aetna | NBR ASO/FI | $1,946.56 | ↓ -36% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,953.23 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $1,953.23 | ↓ -36% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,953.23 | ↓ -36% |
| Aetna | Medicare | $1,989.40 | ↓ -34% |
| Aetna | EBR ASO | $2,022.40 | ↓ -33% |
| Cigna | Commercial | $2,022.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $2,065.14 | ↓ -32% |
| UPMC Health Plan | CHIP | $2,315.66 | ↓ -24% |
| InterGroup | PPO | $2,528.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,777.59 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $2,780.80 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $3,033.60 | ↑ +0% |
| Coventry/First Health | Commercial | $3,539.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,719.96 | ↑ +23% |
| SelectCare | Commercial | $4,044.80 | ↑ +33% |
| Private Health Care Systems | PPO | $4,044.80 | ↑ +33% |
| Humana | Commercial | $4,297.60 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,869.00 | $729.80 – $2,492.00 |
| UPMC Bedford | Everett | $1,581.00 | $652.52 – $2,371.50 |
| UPMC Carlisle | Carlisle | $2,361.00 | $539.10 – $3,344.75 |
| UPMC Cole | Coudersport | $1,693.20 | $326.54 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $2,361.00 | $787.00 – $3,344.75 |
| UPMC East | Monroeville | $3,055.20 | $736.75 – $4,073.60 |
| UPMC Hamot | Erie | $3,124.20 | $729.80 – $2,630.42 |
| UPMC Northwest | Seneca | $1,550.40 | $1,017.75 – $1,953.23 |