Target gsa panel organ/hmtlmph neop at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$5,739.00
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.
$9,565.00
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.
$1,869.20 with Highmark BCBS of PA vs $20,567.62 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,869.20 | ↓ -67% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $2,569.25 | ↓ -55% |
| UPMC Health Plan | Managed Medicaid | $2,569.25 | ↓ -55% |
| UPMC Health Plan | Managed Medicare | $2,706.18 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $2,885.51 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $2,919.60 | ↓ -49% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,994.93 | ↓ -48% |
| Aetna of PA | Medicare | $3,065.58 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,153.17 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,153.17 | ↓ -45% |
| AmeriHealth Caritas | Medicare | $3,153.17 | ↓ -45% |
| Aetna | Medicare | $3,211.56 | ↓ -44% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,245.92 | ↓ -43% |
| Aetna | Neighborhood Network | $3,319.05 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,463.81 | ↓ -40% |
| Aetna | Home Depot Employer Group | $3,606.01 | ↓ -37% |
| Aetna | EBR FI | $3,634.70 | ↓ -37% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,646.23 | ↓ -36% |
| Cigna | New Business ASO | $3,682.53 | ↓ -36% |
| Aetna | NBR ASO/FI | $3,682.53 | ↓ -36% |
| Aetna | EBR ASO | $3,826.00 | ↓ -33% |
| Cigna | Commercial | $3,826.00 | ↓ -33% |
| PA Health & Wellness | PA Medicaid HMO | $3,980.47 | ↓ -31% |
| Highmark BCBS of PA | Managed Care | $4,347.22 | ↓ -24% |
| InterGroup | PPO | $4,782.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $5,739.00 | ↑ +0% |
| Coventry/First Health | Commercial | $6,695.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,046.98 | ↑ +23% |
| SelectCare | Commercial | $7,652.00 | ↑ +33% |
| Private Health Care Systems | PPO | $7,652.00 | ↑ +33% |
| Humana | Commercial | $8,130.25 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $9,437.84 | ↑ +64% |
| UPMC Health Plan | Commercial | $10,283.44 | ↑ +79% |
| UPMC Health Plan | CHIP | $20,567.62 | ↑ +258% |
Visitor-reported prices
Comments
Target gsa panel organ/hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,581.80 | $1,851.57 – $7,228.00 |
| UPMC Bedford | Everett | $5,739.00 | $1,053.39 – $3,640.50 |
| UPMC East | Monroeville | $7,632.00 | $1,869.20 – $7,652.00 |
| UPMC Hamot | Erie | $7,632.00 | $1,851.57 – $3,246.36 |
| UPMC Northwest | Seneca | $5,739.00 | $2,569.25 – $3,153.17 |
| UPMC Horizon-Greenville | Greenville | $5,739.00 | $2,335.68 – $3,246.36 |
| UPMC Jameson | New Castle | $5,739.00 | $1,884.24 – $3,153.17 |
| UPMC Magee | Pittsburgh | $9,920.40 | $1,869.20 – $3,980.47 |