Thrombectomy/inf pq dialysis circuit w/pta at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$9,645.00
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.
$16,075.00
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.
$386.68 with UPMC Health Plan vs $13,663.75 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 | Managed Medicaid | $386.68 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $386.68 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $521.32 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $548.77 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $599.08 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,423.19 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $2,860.92 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,978.73 | ↓ -69% |
| Highmark BCBS of PA | Managed Care | $3,989.27 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,365.51 | ↓ -44% |
| Aetna | Neighborhood Network | $5,578.02 | ↓ -42% |
| UPMC Health Plan | CHIP | $5,626.25 | ↓ -42% |
| Aetna | Home Depot Employer Group | $6,060.27 | ↓ -37% |
| Aetna | EBR FI | $6,108.50 | ↓ -37% |
| Cigna | New Business ASO | $6,188.88 | ↓ -36% |
| Aetna | NBR ASO/FI | $6,188.88 | ↓ -36% |
| Aetna | EBR ASO | $6,430.00 | ↓ -33% |
| Cigna | Commercial | $6,430.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,185.90 | ↓ -25% |
| InterGroup | PPO | $8,037.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $9,032.54 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $9,645.00 | ↑ +0% |
| UPMC Health Plan | Managed Medicare | $10,021.52 | ↑ +4% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $11,090.82 | ↑ +15% |
| Coventry/First Health | Commercial | $11,252.50 | ↑ +17% |
| Aetna of PA | Medicare | $11,352.46 | ↑ +18% |
| AmeriHealth Caritas | Medicare | $11,676.82 | ↑ +21% |
| Highmark Wholecare (prev Gateway) | Medicare | $11,676.82 | ↑ +21% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,676.82 | ↑ +21% |
| Aetna | Medicare | $11,893.06 | ↑ +23% |
| SelectCare | Commercial | $12,860.00 | ↑ +33% |
| Private Health Care Systems | PPO | $12,860.00 | ↑ +33% |
| Humana | Commercial | $13,663.75 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/pta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $24,300.00 | $446.44 – $34,425.00 |
| UPMC Community Osteopathic | Harrisburg | $24,300.00 | $446.44 – $34,425.00 |
| UPMC East | Monroeville | $7,662.00 | $386.68 – $11,352.46 |
| UPMC Hamot | Erie | $5,134.20 | $386.68 – $15,725.10 |
| UPMC Hanover | Hanover | $24,300.00 | $446.44 – $17,333.84 |
| UPMC Lititz | Lititz | $24,300.00 | $446.44 – $17,427.46 |
| UPMC Magee | Pittsburgh | $7,348.80 | $386.68 – $11,676.82 |
| UPMC Memorial | York | $24,300.00 | $446.44 – $17,399.15 |