Ultrasound Guidance for a Needle Procedure at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$436.20
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.
?
What you pay up front if you don't use insurance.
$727.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$56.01 with Aetna vs $617.95 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $56.01 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $79.20 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $79.20 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $106.78 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $108.65 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $112.40 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $122.70 | ↓ -72% |
| UPMC Health Plan | Commercial | $150.92 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $227.40 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $236.54 | ↓ -46% |
| Aetna | Neighborhood Network | $252.27 | ↓ -42% |
| Aetna | Home Depot Employer Group | $274.08 | ↓ -37% |
| Aetna | EBR FI | $276.26 | ↓ -37% |
| Cigna | New Business ASO | $279.89 | ↓ -36% |
| Aetna | NBR ASO/FI | $279.89 | ↓ -36% |
| Aetna | EBR ASO | $290.80 | ↓ -33% |
| Cigna | Commercial | $290.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $304.55 | ↓ -30% |
| UPMC Health Plan | CHIP | $331.24 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $363.50 | ↓ -17% |
| InterGroup | PPO | $363.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $409.61 | ↓ -6% |
| Cigna Behavioral Health | Commercial | $436.20 | ↑ +0% |
| Coventry/First Health | Commercial | $508.90 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $548.59 | ↑ +26% |
| SelectCare | Commercial | $581.60 | ↑ +33% |
| Private Health Care Systems | PPO | $581.60 | ↑ +33% |
| Humana | Commercial | $617.95 | ↑ +42% |
Visitor-reported prices
Comments
Ultrasound Guidance for a Needle Procedure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $234.00 | $43.20 – $312.00 |
| UPMC Bedford | Everett | $318.00 | $75.60 – $477.00 |
| UPMC Carlisle | Carlisle | $591.00 | $56.59 – $837.25 |
| UPMC Cole | Coudersport | $432.60 | $36.04 – $218.59 |
| UPMC Community Osteopathic | Harrisburg | $591.00 | $35.80 – $473.18 |
| UPMC East | Monroeville | $988.80 | $79.20 – $1,318.40 |
| UPMC Hamot | Erie | $468.00 | $74.80 – $236.54 |
| UPMC Northwest | Seneca | $354.00 | $79.20 – $279.33 |