Removal embedded foreign body vestibule mouth smpl at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$583.80
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.
$973.00
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.
$33.55 with UPMC Health Plan vs $983.24 with Aetna — 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 Medicaid | $33.55 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $33.55 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $45.23 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.61 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $51.98 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $131.35 | ↓ -78% |
| UPMC Health Plan | Commercial | $144.12 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $174.25 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $274.93 | ↓ -53% |
| Aetna | Neighborhood Network | $337.63 | ↓ -42% |
| Aetna | Home Depot Employer Group | $366.82 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $368.19 | ↓ -37% |
| Aetna | EBR FI | $369.74 | ↓ -37% |
| Cigna | New Business ASO | $374.61 | ↓ -36% |
| Aetna | NBR ASO/FI | $374.61 | ↓ -36% |
| Aetna | EBR ASO | $389.20 | ↓ -33% |
| Cigna | Commercial | $389.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $401.69 | ↓ -31% |
| InterGroup | PPO | $486.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $495.21 | ↓ -15% |
| Cigna Behavioral Health | Commercial | $583.80 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $663.23 | ↑ +14% |
| Coventry/First Health | Commercial | $681.10 | ↑ +17% |
| SelectCare | Commercial | $778.40 | ↑ +33% |
| Private Health Care Systems | PPO | $778.40 | ↑ +33% |
| Humana | Commercial | $827.05 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $828.51 | ↑ +42% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $916.91 | ↑ +57% |
| Aetna of PA | Medicare | $938.54 | ↑ +61% |
| AmeriHealth Caritas | Medicare | $965.36 | ↑ +65% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.36 | ↑ +65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $965.36 | ↑ +65% |
| Aetna | Medicare | $983.24 | ↑ +68% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Removal embedded foreign body vestibule mouth smpl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $505.20 | $30.50 – $673.60 |
| UPMC Carlisle | Carlisle | $1,191.00 | $38.73 – $1,687.25 |
| UPMC Cole | Coudersport | $140.40 | $32.02 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,191.00 | $38.73 – $1,687.25 |
| UPMC Northwest | Seneca | $778.20 | $33.55 – $938.54 |
| UPMC Hanover | Hanover | $1,191.00 | $38.73 – $1,433.04 |
| UPMC Horizon-Greenville | Greenville | $472.20 | $33.55 – $965.36 |
| UPMC Lititz | Lititz | $1,191.00 | $38.73 – $1,440.78 |