Stent iliac/open/perc/ea ad/ipsila 37223 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$22,029.60
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.
$36,716.00
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.
$3,137.27 with UPMC Health Plan vs $31,208.60 with Humana — 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 | Commercial | $3,137.27 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $3,788.30 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,658.60 | ↓ -79% |
| UPMC Health Plan | CHIP | $8,744.12 | ↓ -60% |
| Aetna | Medicare | $9,179.00 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9,750.41 | ↓ -56% |
| Aetna | Neighborhood Network | $12,740.45 | ↓ -42% |
| Highmark BCBS of PA | Managed Care | $13,058.23 | ↓ -41% |
| Aetna | Home Depot Employer Group | $13,841.93 | ↓ -37% |
| Aetna | EBR FI | $13,952.08 | ↓ -37% |
| Aetna | NBR ASO/FI | $14,135.66 | ↓ -36% |
| Cigna | New Business ASO | $14,135.66 | ↓ -36% |
| Cigna | Commercial | $14,686.40 | ↓ -33% |
| Aetna | EBR ASO | $14,686.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $17,563.15 | ↓ -20% |
| InterGroup | PPO | $18,358.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $18,358.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $20,193.80 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $22,029.60 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity | $23,521.89 | ↑ +7% |
| Coventry/First Health | Commercial | $25,701.20 | ↑ +17% |
| Private Health Care Systems | PPO | $29,372.80 | ↑ +33% |
| SelectCare | Commercial | $29,372.80 | ↑ +33% |
| Humana | Commercial | $31,208.60 | ↑ +42% |
Visitor-reported prices
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Stent iliac/open/perc/ea ad/ipsila 37223 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $17,351.40 | $3,788.30 – $23,135.20 |
| UPMC Carlisle | Carlisle | $8,640.60 | $236.46 – $12,240.85 |
| UPMC Community Osteopathic | Harrisburg | $8,640.60 | $236.46 – $19,048.49 |
| UPMC East | Monroeville | $23,821.80 | $3,788.30 – $31,762.40 |
| UPMC Hamot | Erie | $10,869.00 | $198.55 – $4,614.66 |
| UPMC Northwest | Seneca | $16,307.40 | $3,788.30 – $11,976.81 |
| UPMC Hanover | Hanover | $8,640.60 | $236.46 – $8,744.12 |
| UPMC Jameson | New Castle | $3,688.80 | $207.57 – $8,744.12 |