Small Bowel Barium X-ray (Follow-Through) at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$810.00
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.
$1,350.00
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.
$41.25 with UPMC Health Plan vs $1,147.50 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $41.25 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $41.25 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.61 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $58.54 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $63.91 | ↓ -92% |
| UPMC Health Plan | Commercial | $72.36 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $85.40 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $157.31 | ↓ -81% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $174.10 | ↓ -79% |
| Aetna of PA | Medicare | $178.21 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $178.74 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.30 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.30 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $183.30 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $186.25 | ↓ -77% |
| Aetna | Medicare | $186.69 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $239.38 | ↓ -70% |
| UPMC Health Plan | CHIP | $256.26 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $321.96 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity | $431.19 | ↓ -47% |
| Aetna | Neighborhood Network | $468.45 | ↓ -42% |
| Aetna | Home Depot Employer Group | $508.95 | ↓ -37% |
| Aetna | EBR FI | $513.00 | ↓ -37% |
| Aetna | NBR ASO/FI | $519.75 | ↓ -36% |
| Cigna | New Business ASO | $519.75 | ↓ -36% |
| Aetna | EBR ASO | $540.00 | ↓ -33% |
| Cigna | Commercial | $540.00 | ↓ -33% |
| InterGroup | PPO | $675.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $810.00 | ↑ +0% |
| Coventry/First Health | Commercial | $945.00 | ↑ +17% |
| SelectCare | Commercial | $1,080.00 | ↑ +33% |
| Private Health Care Systems | PPO | $1,080.00 | ↑ +33% |
| Humana | Commercial | $1,147.50 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Small Bowel Barium X-ray (Follow-Through) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $288.00 | $22.50 – $384.00 |
| UPMC Bedford | Everett | $225.00 | $39.38 – $337.50 |
| UPMC Carlisle | Carlisle | $427.80 | $29.48 – $606.05 |
| UPMC Cole | Coudersport | $305.40 | $39.38 – $407.20 |
| UPMC Community Osteopathic | Harrisburg | $427.80 | $29.48 – $606.05 |
| UPMC East | Monroeville | $832.80 | $41.25 – $1,110.40 |
| UPMC Hamot | Erie | $596.40 | $41.25 – $270.53 |
| UPMC Northwest | Seneca | $268.20 | $41.25 – $178.21 |