Radium ra223 dichl ther/uci at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$389.40
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.
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What you pay up front if you don't use insurance.
$649.00
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.
$159.63 with UPMC Health Plan vs $1,798.30 with Highmark BCBS of PA — 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 | Managed Medicare | $159.63 | ↓ -59% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $176.66 | ↓ -55% |
| UPMC Health Plan | CHIP | $178.07 | ↓ -54% |
| Aetna of PA | Medicare | $180.83 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $186.00 | ↓ -52% |
| AmeriHealth Caritas | Medicare | $186.00 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $186.00 | ↓ -52% |
| Aetna | Medicare | $189.44 | ↓ -51% |
| Aetna | Neighborhood Network | $225.20 | ↓ -42% |
| Aetna | Home Depot Employer Group | $244.67 | ↓ -37% |
| Aetna | EBR FI | $246.62 | ↓ -37% |
| Aetna | NBR ASO/FI | $249.87 | ↓ -36% |
| Cigna | New Business ASO | $249.87 | ↓ -36% |
| Aetna | EBR ASO | $259.60 | ↓ -33% |
| Cigna | Commercial | $259.60 | ↓ -33% |
| InterGroup | PPO | $324.50 | ↓ -17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $356.16 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $356.95 | ↓ -8% |
| UPMC Health Plan | Commercial | $364.67 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $389.40 | ↑ +0% |
| Coventry/First Health | Commercial | $454.30 | ↑ +17% |
| Private Health Care Systems | PPO | $519.20 | ↑ +33% |
| SelectCare | Commercial | $519.20 | ↑ +33% |
| Humana | Commercial | $551.65 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,332.07 | ↑ +242% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,342.74 | ↑ +245% |
| Highmark BCBS of PA | Managed Care | $1,784.04 | ↑ +358% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,798.30 | ↑ +362% |
| 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
Comments
Radium ra223 dichl ther/uci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $445.20 | $153.14 – $192.68 |
| UPMC Horizon-Greenville | Greenville | $314.40 | $154.19 – $323.17 |
| UPMC Magee | Pittsburgh | $367.20 | $161.18 – $356.16 |
| UPMC Muncy | Muncy | $384.60 | $96.15 – $576.90 |
| UPMC Presbyterian | Pittsburgh | $957.60 | $186.00 – $356.16 |
| UPMC St. Margaret | Pittsburgh | $389.40 | $148.69 – $356.16 |
| UPMC Wellsboro | Wellsboro | $464.80 | not published |
| UPMC Williamsport | Williamsport | $384.60 | $173.91 – $186.00 |