Warde complement total hemolytic at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$283.20
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.
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What you pay up front if you don't use insurance.
$472.00
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.
$18.83 with UPMC Health Plan vs $401.20 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 Medicare | $18.83 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $20.08 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $20.32 | ↓ -93% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $20.84 | ↓ -93% |
| Aetna of PA | Medicare | $21.34 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $21.95 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.95 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $21.95 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $22.00 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $22.00 | ↓ -92% |
| Aetna | Medicare | $22.35 | ↓ -92% |
| UPMC Health Plan | Commercial | $29.35 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.66 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.22 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $34.08 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $39.63 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $68.82 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $92.17 | ↓ -67% |
| UPMC Health Plan | CHIP | $103.94 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $149.41 | ↓ -47% |
| Aetna | Neighborhood Network | $163.78 | ↓ -42% |
| Aetna | Home Depot Employer Group | $177.94 | ↓ -37% |
| Aetna | EBR FI | $179.36 | ↓ -37% |
| Aetna | NBR ASO/FI | $181.72 | ↓ -36% |
| Cigna | New Business ASO | $181.72 | ↓ -36% |
| Aetna | EBR ASO | $188.80 | ↓ -33% |
| Cigna | Commercial | $188.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $200.11 | ↓ -29% |
| InterGroup | PPO | $236.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $283.20 | ↑ +0% |
| Coventry/First Health | Commercial | $330.40 | ↑ +17% |
| Private Health Care Systems | PPO | $377.60 | ↑ +33% |
| SelectCare | Commercial | $377.60 | ↑ +33% |
| Humana | Commercial | $401.20 | ↑ +42% |
Visitor-reported prices
Comments
Warde complement total hemolytic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $272.40 | $20.00 – $363.20 |
| UPMC Bedford | Everett | $108.00 | $7.33 – $162.00 |
| UPMC Carlisle | Carlisle | $113.40 | $17.77 – $160.65 |
| UPMC Cole | Coudersport | $142.80 | $13.21 – $190.40 |
| UPMC Community Osteopathic | Harrisburg | $113.40 | $20.00 – $160.65 |
| UPMC East | Monroeville | $304.20 | $20.00 – $405.60 |
| UPMC Hamot | Erie | $289.80 | $20.00 – $39.26 |
| UPMC Northwest | Seneca | $99.00 | $18.43 – $23.00 |