Prq card stent w/angio addl at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$23,637.00
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.
$39,395.00
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.
$1,327.62 with Highmark BCBS of PA vs $33,485.75 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 | $1,327.62 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,467.81 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $4,644.45 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,005.21 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,703.35 | ↓ -72% |
| Aetna | Medicare | $9,848.75 | ↓ -58% |
| Aetna | Neighborhood Network | $13,670.07 | ↓ -42% |
| UPMC Health Plan | CHIP | $13,788.25 | ↓ -42% |
| Aetna | Home Depot Employer Group | $14,851.92 | ↓ -37% |
| Aetna | EBR FI | $14,970.10 | ↓ -37% |
| Aetna | NBR ASO/FI | $15,167.08 | ↓ -36% |
| Cigna | New Business ASO | $15,167.08 | ↓ -36% |
| Cigna | Commercial | $15,758.00 | ↓ -33% |
| Aetna | EBR ASO | $15,758.00 | ↓ -33% |
| InterGroup | PPO | $19,697.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $19,697.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $21,667.25 | ↓ -8% |
| UPMC Health Plan | Commercial | $22,136.05 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $23,637.00 | ↑ +0% |
| Coventry/First Health | Commercial | $27,576.50 | ↑ +17% |
| SelectCare | Commercial | $31,516.00 | ↑ +33% |
| Private Health Care Systems | PPO | $31,516.00 | ↑ +33% |
| Humana | Commercial | $33,485.75 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Prq card stent w/angio addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $9,768.60 | $168.56 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $9,768.60 | $168.56 – $13,838.85 |
| UPMC East | Monroeville | $24,012.00 | $1,327.62 – $32,016.00 |
| UPMC Hanover | Hanover | $9,768.60 | $168.56 – $168.56 |
| UPMC Lititz | Lititz | $9,768.60 | $168.56 – $168.56 |
| UPMC Memorial | York | $9,768.60 | $168.56 – $1,071.86 |
| UPMC Mercy | Pittsburgh | $23,616.60 | $1,315.10 – $1,315.10 |
| UPMC Passavant-McCandless | Pittsburgh | $26,415.60 | $1,327.62 – $1,327.62 |