Spacer bag/reservoir at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$153.60
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.
$192.00
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.
$8.50 with Aetna vs $560.09 with UPMC Health Plan — 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 |
|---|---|---|---|
| Aetna | Medicare | $8.50 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $40.34 | ↓ -74% |
| Aetna | Neighborhood Network | $66.62 | ↓ -57% |
| Aetna | Home Depot Employer Group | $72.38 | ↓ -53% |
| Aetna | EBR FI | $72.96 | ↓ -53% |
| Cigna | New Business ASO | $73.92 | ↓ -52% |
| Aetna | NBR ASO/FI | $73.92 | ↓ -52% |
| Aetna | EBR ASO | $76.80 | ↓ -50% |
| Cigna | Commercial | $76.80 | ↓ -50% |
| InterGroup | PPO | $96.00 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $96.00 | ↓ -38% |
| Highmark BCBS of PA | Managed Care | $101.76 | ↓ -34% |
| Highmark BCBS of PA | Managed Care - Social Mission | $101.76 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $103.68 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $103.68 | ↓ -33% |
| PA Health & Wellness | PA Medicaid HMO | $105.60 | ↓ -31% |
| Cigna Behavioral Health | Commercial | $115.20 | ↓ -25% |
| Coventry/First Health | Commercial | $134.40 | ↓ -13% |
| SelectCare | Commercial | $153.60 | ↑ +0% |
| Private Health Care Systems | PPO | $153.60 | ↑ +0% |
| Humana | Commercial | $163.20 | ↑ +6% |
| UPMC Health Plan | CHIP | $271.94 | ↑ +77% |
| UPMC Health Plan | Commercial | $560.09 | ↑ +265% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Spacer bag/reservoir at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $194.40 | $40.34 – $271.94 |
| UPMC Magee | Pittsburgh | $189.60 | $8.50 – $271.94 |
| UPMC Passavant-McCandless | Pittsburgh | $189.60 | $40.34 – $394.61 |
| UPMC Presbyterian | Pittsburgh | $189.60 | $21.60 – $439.67 |
| UPMC Western Psychiatric | Pittsburgh | $189.60 | $39.53 – $39.53 |