Pretreat rbc w enzyme reference at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$238.80
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.
$398.00
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.
$45.65 with UPMC Health Plan vs $338.30 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 | Commercial | $45.65 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $59.60 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $103.49 | ↓ -57% |
| Aetna | Neighborhood Network | $138.11 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $138.61 | ↓ -42% |
| Aetna | Home Depot Employer Group | $150.05 | ↓ -37% |
| Aetna | EBR FI | $151.24 | ↓ -37% |
| UPMC Health Plan | Managed Medicare | $151.43 | ↓ -37% |
| Cigna | New Business ASO | $153.23 | ↓ -36% |
| Aetna | NBR ASO/FI | $153.23 | ↓ -36% |
| Cigna | Commercial | $159.20 | ↓ -33% |
| Aetna | EBR ASO | $159.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $161.67 | ↓ -32% |
| Geisinger | Medicaid/CHIP | $163.37 | ↓ -32% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $167.58 | ↓ -30% |
| Aetna of PA | Medicare | $171.54 | ↓ -28% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↓ -26% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.44 | ↓ -26% |
| AmeriHealth Caritas | Medicare | $176.44 | ↓ -26% |
| Aetna | Medicare | $179.71 | ↓ -25% |
| InterGroup | PPO | $199.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $218.90 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $224.69 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $238.80 | ↑ +0% |
| Coventry/First Health | Commercial | $278.60 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $300.92 | ↑ +26% |
| Private Health Care Systems | PPO | $318.40 | ↑ +33% |
| SelectCare | Commercial | $318.40 | ↑ +33% |
| Humana | Commercial | $338.30 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pretreat rbc w enzyme reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $105.00 | $59.04 – $176.44 |
| UPMC Bedford | Everett | $141.00 | $45.09 – $211.50 |
| UPMC East | Monroeville | $322.20 | $44.47 – $429.60 |
| UPMC Horizon-Greenville | Greenville | $181.80 | $45.03 – $176.44 |
| UPMC Jameson | New Castle | $181.80 | $1.76 – $227.37 |
| UPMC Magee | Pittsburgh | $225.60 | $47.06 – $179.71 |
| UPMC Mercy | Pittsburgh | $222.60 | $44.60 – $179.71 |
| UPMC Passavant-McCandless | Pittsburgh | $219.00 | $44.87 – $179.71 |