System pacing micra av at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$27,028.80
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.
$45,048.00
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.
$1,228.36 with Aetna vs $38,290.80 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 |
|---|---|---|---|
| Aetna | Medicare | $1,228.36 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,424.88 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11,262.00 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $12,809.38 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $12,911.95 | ↓ -52% |
| UPMC Health Plan | CHIP | $13,088.54 | ↓ -52% |
| PA Health & Wellness | PA Medicaid HMO | $14,865.84 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15,239.74 | ↓ -44% |
| Aetna | Neighborhood Network | $15,631.66 | ↓ -42% |
| Aetna | Home Depot Employer Group | $16,983.10 | ↓ -37% |
| Aetna | EBR FI | $17,118.24 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $17,155.59 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity | $17,292.65 | ↓ -36% |
| Cigna | New Business ASO | $17,343.48 | ↓ -36% |
| Aetna | NBR ASO/FI | $17,343.48 | ↓ -36% |
| Aetna | EBR ASO | $18,019.20 | ↓ -33% |
| Cigna | Commercial | $18,019.20 | ↓ -33% |
| InterGroup | PPO | $22,524.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $22,524.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $26,957.49 | ↓ -0% |
| Cigna Behavioral Health | Commercial | $27,028.80 | ↑ +0% |
| Coventry/First Health | Commercial | $31,533.60 | ↑ +17% |
| Private Health Care Systems | PPO | $36,038.40 | ↑ +33% |
| SelectCare | Commercial | $36,038.40 | ↑ +33% |
| Humana | Commercial | $38,290.80 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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System pacing micra av at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $23,908.80 | $1,470.41 – $13,088.54 |
| UPMC Bedford | Everett | $5,210.40 | $1,649.96 – $13,088.54 |
| UPMC Cole | Coudersport | $3,982.20 | $1,261.03 – $5,309.60 |
| UPMC Community Osteopathic | Harrisburg | $9,256.80 | $3,085.60 – $17,857.72 |
| UPMC East | Monroeville | $27,721.80 | $3,424.88 – $16,902.40 |
| UPMC Hamot | Erie | $34,719.00 | $3,392.57 – $3,392.57 |
| UPMC Northwest | Seneca | $6,175.20 | $8,805.02 – $15,838.31 |
| UPMC Jameson | New Castle | $7,359.00 | $1,116.69 – $13,088.54 |