Prq card revasc mi 1 vsl drug-eluting at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$12,302.40
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.
$20,504.00
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.
$756.80 with Aetna vs $17,428.40 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 |
|---|---|---|---|
| Aetna | Medicare | $756.80 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,163.27 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,650.55 | ↓ -54% |
| Aetna | Neighborhood Network | $7,114.89 | ↓ -42% |
| UPMC Health Plan | CHIP | $7,176.40 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $7,567.80 | ↓ -38% |
| Aetna | Home Depot Employer Group | $7,730.01 | ↓ -37% |
| Aetna | EBR FI | $7,791.52 | ↓ -37% |
| Cigna | New Business ASO | $7,894.04 | ↓ -36% |
| Aetna | NBR ASO/FI | $7,894.04 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $8,155.63 | ↓ -34% |
| Aetna | EBR ASO | $8,201.60 | ↓ -33% |
| Cigna | Commercial | $8,201.60 | ↓ -33% |
| InterGroup | PPO | $10,252.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $10,252.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,922.62 | ↓ -11% |
| PA Health & Wellness | PA Medicaid HMO | $11,277.20 | ↓ -8% |
| UPMC Health Plan | Commercial | $11,521.20 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $12,302.40 | ↑ +0% |
| Coventry/First Health | Commercial | $14,352.80 | ↑ +17% |
| Private Health Care Systems | PPO | $16,403.20 | ↑ +33% |
| SelectCare | Commercial | $16,403.20 | ↑ +33% |
| Humana | Commercial | $17,428.40 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl drug-eluting at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,182.60 | $2,142.86 – $13,576.80 |
| UPMC Carlisle | Carlisle | $15,411.00 | $3,518.84 – $21,832.25 |
| UPMC Community Osteopathic | Harrisburg | $15,411.00 | $5,137.00 – $21,832.25 |
| UPMC Hamot | Erie | $22,600.20 | $2,142.86 – $2,142.86 |
| UPMC Northwest | Seneca | $14,003.40 | $5,561.55 – $5,561.55 |
| UPMC Jameson | New Castle | $11,088.60 | $688.00 – $2,180.67 |
| UPMC Lititz | Lititz | $15,411.00 | $688.00 – $688.00 |
| UPMC Memorial | York | $15,411.00 | $688.00 – $1,746.52 |