Tube trach disp innr can 5 xlt at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$395.40
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.
$659.00
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.
$44.32 with Aetna vs $541.98 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 |
|---|---|---|---|
| Aetna | Medicare | $44.32 | ↓ -89% |
| Aetna | Neighborhood Network | $68.36 | ↓ -83% |
| Aetna | Home Depot Employer Group | $74.27 | ↓ -81% |
| Aetna | EBR FI | $74.86 | ↓ -81% |
| Aetna | NBR ASO/FI | $75.84 | ↓ -81% |
| Cigna | New Business ASO | $75.84 | ↓ -81% |
| Aetna | EBR ASO | $78.80 | ↓ -80% |
| Cigna | Commercial | $78.80 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $88.29 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $89.35 | ↓ -77% |
| InterGroup | PPO | $98.50 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $98.50 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $108.35 | ↓ -73% |
| Cigna Behavioral Health | Commercial | $118.20 | ↓ -70% |
| Coventry/First Health | Commercial | $137.90 | ↓ -65% |
| Private Health Care Systems | PPO | $157.60 | ↓ -60% |
| SelectCare | Commercial | $157.60 | ↓ -60% |
| Humana | Commercial | $167.45 | ↓ -58% |
| UPMC Health Plan | CHIP | $263.14 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $330.21 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $332.86 | ↓ -16% |
| Highmark BCBS of PA | Managed Care | $442.25 | ↑ +12% |
| Highmark BCBS of PA | Commercial - Indemnity | $445.78 | ↑ +13% |
| UPMC Health Plan | Commercial | $541.98 | ↑ +37% |
Visitor-reported prices
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Tube trach disp innr can 5 xlt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $289.20 | $87.46 – $263.14 |
| UPMC East | Monroeville | $283.20 | $48.00 – $263.14 |
| UPMC Hamot | Erie | $472.80 | $87.46 – $89.35 |
| UPMC Northwest | Seneca | $141.00 | $89.35 – $318.43 |
| UPMC Jameson | New Castle | $189.00 | $40.29 – $263.14 |
| UPMC Kane | Kane | $93.60 | $89.35 – $270.01 |
| UPMC Magee | Pittsburgh | $888.00 | $44.32 – $263.14 |
| UPMC Mercy | Pittsburgh | $394.80 | $87.46 – $207.79 |