Scr c/v cyto,thinlayer,rescr at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$78.00
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.
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What you pay up front if you don't use insurance.
$130.00
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.
$24.55 with UPMC Health Plan vs $361.65 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 | $24.55 | ↓ -69% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $27.17 | ↓ -65% |
| Aetna of PA | Medicare | $27.81 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $28.61 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $28.61 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $28.61 | ↓ -63% |
| Aetna | Medicare | $29.14 | ↓ -63% |
| UPMC Health Plan | Commercial | $40.53 | ↓ -48% |
| Aetna | Neighborhood Network | $45.11 | ↓ -42% |
| Aetna | Home Depot Employer Group | $49.01 | ↓ -37% |
| Aetna | EBR FI | $49.40 | ↓ -37% |
| Cigna | New Business ASO | $50.05 | ↓ -36% |
| Aetna | NBR ASO/FI | $50.05 | ↓ -36% |
| Cigna | Commercial | $52.00 | ↓ -33% |
| Aetna | EBR ASO | $52.00 | ↓ -33% |
| InterGroup | PPO | $65.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $71.50 | ↓ -8% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $71.63 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $78.00 | ↑ +0% |
| Coventry/First Health | Commercial | $91.00 | ↑ +17% |
| Private Health Care Systems | PPO | $104.00 | ↑ +33% |
| SelectCare | Commercial | $104.00 | ↑ +33% |
| Humana | Commercial | $110.50 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $124.38 | ↑ +59% |
| UPMC Health Plan | CHIP | $143.53 | ↑ +84% |
| Highmark BCBS of PA | Managed Care | $166.58 | ↑ +114% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $270.03 | ↑ +246% |
| Highmark BCBS of PA | Commercial - Indemnity | $361.65 | ↑ +364% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Scr c/v cyto,thinlayer,rescr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $99.00 | $27.01 – $132.00 |
| UPMC Bedford | Everett | $78.00 | $9.56 – $117.00 |
| UPMC Carlisle | Carlisle | $189.60 | $14.57 – $268.60 |
| UPMC Community Osteopathic | Harrisburg | $189.60 | $21.17 – $156.40 |
| UPMC East | Monroeville | $78.00 | $26.56 – $104.00 |
| UPMC Northwest | Seneca | $84.00 | $24.02 – $28.61 |
| UPMC Hanover | Hanover | $189.60 | $21.17 – $143.53 |
| UPMC Horizon-Greenville | Greenville | $78.00 | $23.72 – $49.71 |