Uppr gi scope w/submuc inj at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$3,381.00
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.
$5,635.00
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.
$166.71 with UPMC Health Plan vs $4,789.75 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 | $166.71 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $166.71 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $224.75 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $236.58 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $258.27 | ↓ -92% |
| UPMC Health Plan | Commercial | $426.59 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $525.55 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $792.58 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $828.51 | ↓ -75% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $916.91 | ↓ -73% |
| Aetna of PA | Medicare | $938.54 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.36 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $965.36 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $965.36 | ↓ -71% |
| Aetna | Medicare | $983.24 | ↓ -71% |
| UPMC Health Plan | CHIP | $1,188.99 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,658.86 | ↓ -51% |
| Aetna | Neighborhood Network | $1,955.35 | ↓ -42% |
| Aetna | Home Depot Employer Group | $2,124.39 | ↓ -37% |
| Aetna | EBR FI | $2,141.30 | ↓ -37% |
| Cigna | New Business ASO | $2,169.47 | ↓ -36% |
| Aetna | NBR ASO/FI | $2,169.47 | ↓ -36% |
| Highmark BCBS of PA | Managed Care | $2,221.62 | ↓ -34% |
| Cigna | Commercial | $2,254.00 | ↓ -33% |
| Aetna | EBR ASO | $2,254.00 | ↓ -33% |
| InterGroup | PPO | $2,817.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,988.06 | ↓ -12% |
| Cigna Behavioral Health | Commercial | $3,381.00 | ↑ +0% |
| Coventry/First Health | Commercial | $3,944.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,001.83 | ↑ +18% |
| Private Health Care Systems | PPO | $4,508.00 | ↑ +33% |
| SelectCare | Commercial | $4,508.00 | ↑ +33% |
| Humana | Commercial | $4,789.75 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Uppr gi scope w/submuc inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,675.80 | $151.55 – $2,234.40 |
| UPMC Bedford | Everett | $4,581.60 | $159.13 – $6,872.40 |
| UPMC Cole | Coudersport | $384.60 | $159.13 – $1,041.88 |
| UPMC East | Monroeville | $3,284.40 | $166.71 – $4,379.20 |
| UPMC Hamot | Erie | $2,088.00 | $166.71 – $1,300.05 |
| UPMC Horizon-Greenville | Greenville | $3,258.00 | $166.71 – $1,527.37 |
| UPMC Jameson | New Castle | $3,258.00 | $166.71 – $1,206.70 |
| UPMC Magee | Pittsburgh | $2,002.80 | $166.71 – $965.36 |