Speech and Language Evaluation (comprehensive) at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$225.00
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.
$375.00
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.
$93.75 with Aetna vs $915.68 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 | $93.75 | ↓ -58% |
| Aetna | Neighborhood Network | $130.12 | ↓ -42% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $138.75 | ↓ -38% |
| Aetna | Home Depot Employer Group | $141.38 | ↓ -37% |
| Aetna | EBR FI | $142.50 | ↓ -37% |
| Cigna | New Business ASO | $144.38 | ↓ -36% |
| Aetna | NBR ASO/FI | $144.38 | ↓ -36% |
| Aetna | EBR ASO | $150.00 | ↓ -33% |
| Cigna | Commercial | $150.00 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $187.50 | ↓ -17% |
| InterGroup | PPO | $187.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $206.25 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $225.00 | ↑ +0% |
| Highmark BCBS of PA | Managed Care - Social Mission | $240.94 | ↑ +7% |
| UPMC Work Partners | Workers Comp | $261.75 | ↑ +16% |
| Coventry/First Health | Commercial | $262.50 | ↑ +17% |
| Private Health Care Systems | PPO | $300.00 | ↑ +33% |
| SelectCare | Commercial | $300.00 | ↑ +33% |
| Humana | Commercial | $318.75 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $322.69 | ↑ +43% |
| UPMC Health Plan | CHIP | $444.58 | ↑ +98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $523.09 | ↑ +132% |
| Highmark BCBS of PA | Commercial - Indemnity | $700.56 | ↑ +211% |
| UPMC Health Plan | Commercial | $915.68 | ↑ +307% |
Visitor-reported prices
Comments
Speech and Language Evaluation (comprehensive) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $262.20 | $137.44 – $444.58 |
| UPMC Bedford | Everett | $820.20 | $261.75 – $1,230.30 |
| UPMC Carlisle | Carlisle | $865.20 | $195.27 – $1,225.70 |
| UPMC Cole | Coudersport | $444.00 | $152.00 – $592.00 |
| UPMC Community Osteopathic | Harrisburg | $865.20 | $195.27 – $1,225.70 |
| UPMC East | Monroeville | $237.00 | $98.75 – $444.58 |
| UPMC Hamot | Erie | $508.80 | $137.44 – $498.36 |
| UPMC Northwest | Seneca | $404.40 | $261.75 – $537.99 |