Tilt table study at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$1,551.60
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.
$2,586.00
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.
$372.05 with Highmark BCBS of PA vs $2,370.68 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $372.05 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $468.88 | ↓ -70% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $518.91 | ↓ -67% |
| Aetna of PA | Medicare | $531.15 | ↓ -66% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $546.33 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $546.33 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $546.33 | ↓ -65% |
| Aetna | Medicare | $556.45 | ↓ -64% |
| Aetna | Neighborhood Network | $897.34 | ↓ -42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $971.82 | ↓ -37% |
| Aetna | Home Depot Employer Group | $974.92 | ↓ -37% |
| Aetna | EBR FI | $982.68 | ↓ -37% |
| Cigna | New Business ASO | $995.61 | ↓ -36% |
| Aetna | NBR ASO/FI | $995.61 | ↓ -36% |
| Aetna | EBR ASO | $1,034.40 | ↓ -33% |
| Cigna | Commercial | $1,034.40 | ↓ -33% |
| UPMC Health Plan | CHIP | $1,151.02 | ↓ -26% |
| InterGroup | PPO | $1,293.00 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $1,301.56 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,402.66 | ↓ -10% |
| PA Health & Wellness | PA Medicaid HMO | $1,422.30 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $1,551.60 | ↑ +0% |
| Coventry/First Health | Commercial | $1,810.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,878.55 | ↑ +21% |
| Private Health Care Systems | PPO | $2,068.80 | ↑ +33% |
| SelectCare | Commercial | $2,068.80 | ↑ +33% |
| Humana | Commercial | $2,198.10 | ↑ +42% |
| UPMC Health Plan | Commercial | $2,370.68 | ↑ +53% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Tilt table study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,418.40 | $368.54 – $1,891.20 |
| UPMC Carlisle | Carlisle | $920.40 | $140.33 – $1,303.90 |
| UPMC Community Osteopathic | Harrisburg | $920.40 | $140.33 – $1,303.90 |
| UPMC East | Monroeville | $1,909.20 | $372.05 – $2,545.60 |
| UPMC Hamot | Erie | $4,359.60 | $368.54 – $720.95 |
| UPMC Hanover | Hanover | $920.40 | $140.33 – $1,151.02 |
| UPMC Lititz | Lititz | $920.40 | $140.33 – $1,151.02 |
| UPMC Memorial | York | $920.40 | $140.33 – $1,151.02 |