Unlisted px ant segment eye at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$717.60
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.
?
What you pay up front if you don't use insurance.
$1,196.00
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.
$18.77 with Highmark BCBS of PA vs $2,391.84 with Aetna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.77 | ↓ -97% |
| UPMC Health Plan | Commercial | $36.44 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $39.27 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $52.60 | ↓ -93% |
| UPMC Health Plan | CHIP | $66.92 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $70.75 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity | $94.75 | ↓ -87% |
| Aetna | Neighborhood Network | $415.01 | ↓ -42% |
| Aetna | Home Depot Employer Group | $450.89 | ↓ -37% |
| Aetna | EBR FI | $454.48 | ↓ -37% |
| Cigna | New Business ASO | $460.46 | ↓ -36% |
| Aetna | NBR ASO/FI | $460.46 | ↓ -36% |
| Cigna | Commercial | $478.40 | ↓ -33% |
| Aetna | EBR ASO | $478.40 | ↓ -33% |
| InterGroup | PPO | $598.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $657.80 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $717.60 | ↑ +0% |
| Coventry/First Health | Commercial | $837.20 | ↑ +17% |
| Private Health Care Systems | PPO | $956.80 | ↑ +33% |
| SelectCare | Commercial | $956.80 | ↑ +33% |
| Humana | Commercial | $1,016.60 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $2,015.45 | ↑ +181% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,230.50 | ↑ +211% |
| Aetna of PA | Medicare | $2,283.12 | ↑ +218% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,348.35 | ↑ +227% |
| AmeriHealth Caritas | Medicare | $2,348.35 | ↑ +227% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,348.35 | ↑ +227% |
| Aetna | Medicare | $2,391.84 | ↑ +233% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px ant segment eye at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $1,090.20 | $18.59 – $3,162.51 |
| UPMC Horizon-Greenville | Greenville | $777.00 | $36.16 – $2,348.35 |
| UPMC Mercy | Pittsburgh | $3,823.80 | $18.59 – $2,391.84 |
| UPMC Presbyterian | Pittsburgh | $615.60 | $18.77 – $2,391.84 |
| UPMC St. Margaret | Pittsburgh | $761.40 | $18.77 – $2,391.84 |
| Uniontown Hospital | Uniontown | $2,652.50 | $2,236.88 – $5,211.93 |
| UPMC Magee | Pittsburgh | not published | $18.77 – $2,391.84 |