Radiotherapy dose plan imrt at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$4,473.60
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.
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What you pay up front if you don't use insurance.
$7,456.00
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.
$808.92 with UPMC Health Plan vs $6,337.60 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 | $808.92 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,146.43 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $1,188.45 | ↓ -73% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,188.45 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $1,209.11 | ↓ -73% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,338.13 | ↓ -70% |
| Aetna of PA | Medicare | $1,369.69 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,408.83 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,408.83 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $1,408.83 | ↓ -69% |
| Aetna | Medicare | $1,434.92 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,602.25 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,686.63 | ↓ -62% |
| UPMC Health Plan | CHIP | $1,775.48 | ↓ -60% |
| PA Health & Wellness | PA Medicaid HMO | $1,841.23 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,399.47 | ↓ -46% |
| Aetna | Neighborhood Network | $2,587.23 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $2,623.22 | ↓ -41% |
| Aetna | Home Depot Employer Group | $2,810.91 | ↓ -37% |
| Aetna | EBR FI | $2,833.28 | ↓ -37% |
| Cigna | New Business ASO | $2,870.56 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,870.56 | ↓ -36% |
| Cigna | Commercial | $2,982.40 | ↓ -33% |
| Aetna | EBR ASO | $2,982.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $3,213.48 | ↓ -28% |
| InterGroup | PPO | $3,728.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,322.10 | ↓ -3% |
| Cigna Behavioral Health | Commercial | $4,473.60 | ↑ +0% |
| Coventry/First Health | Commercial | $5,219.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,788.47 | ↑ +29% |
| Private Health Care Systems | PPO | $5,964.80 | ↑ +33% |
| SelectCare | Commercial | $5,964.80 | ↑ +33% |
| Humana | Commercial | $6,337.60 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Radiotherapy dose plan imrt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,990.60 | $707.83 – $5,320.80 |
| UPMC Carlisle | Carlisle | $3,873.00 | $884.34 – $5,486.75 |
| UPMC Community Osteopathic | Harrisburg | $3,873.00 | $927.26 – $5,486.75 |
| UPMC East | Monroeville | $4,927.80 | $832.41 – $6,570.40 |
| UPMC Northwest | Seneca | $2,987.40 | $1,120.61 – $2,623.22 |
| UPMC Horizon-Greenville | Greenville | $2,987.40 | $824.39 – $2,623.22 |
| UPMC Lititz | Lititz | $3,873.00 | $927.26 – $2,745.22 |
| UPMC Magee | Pittsburgh | $10,898.40 | $1,146.43 – $2,623.22 |