Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$253.80
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.
$423.00
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.
$34.69 with United Healthcare Community Plan for Families vs $436.50 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $34.69 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $34.69 | ↓ -86% |
| Aetna | Medicare | $38.36 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.77 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.24 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $53.75 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $84.90 | ↓ -67% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $86.45 | ↓ -66% |
| UPMC Health Plan | CHIP | $89.54 | ↓ -65% |
| Aetna | Neighborhood Network | $146.78 | ↓ -42% |
| Aetna | Home Depot Employer Group | $159.47 | ↓ -37% |
| Aetna | EBR FI | $160.74 | ↓ -37% |
| Cigna | New Business ASO | $162.85 | ↓ -36% |
| Aetna | NBR ASO/FI | $162.85 | ↓ -36% |
| Aetna | EBR ASO | $169.20 | ↓ -33% |
| Cigna | Commercial | $169.20 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $175.59 | ↓ -31% |
| Highmark BCBS of PA | Managed Care - Social Mission | $180.94 | ↓ -29% |
| UPMC Health Plan | Commercial | $184.43 | ↓ -27% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $194.33 | ↓ -23% |
| Aetna of PA | Medicare | $198.91 | ↓ -22% |
| AmeriHealth Caritas | Medicare | $204.60 | ↓ -19% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $204.60 | ↓ -19% |
| Highmark Wholecare (prev Gateway) | Medicare | $204.60 | ↓ -19% |
| InterGroup | PPO | $211.50 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $242.32 | ↓ -5% |
| Cigna Behavioral Health | Commercial | $253.80 | ↑ +0% |
| Coventry/First Health | Commercial | $296.10 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $325.92 | ↑ +28% |
| SelectCare | Commercial | $338.40 | ↑ +33% |
| Private Health Care Systems | PPO | $338.40 | ↑ +33% |
| Humana | Commercial | $359.55 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $436.50 | ↑ +72% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $238.20 | $31.54 – $317.60 |
| UPMC Bedford | Everett | $210.00 | $33.12 – $315.00 |
| UPMC Carlisle | Carlisle | $378.60 | $40.06 – $536.35 |
| UPMC Cole | Coudersport | $235.20 | $13.58 – $74.04 |
| UPMC Community Osteopathic | Harrisburg | $378.60 | $40.06 – $536.35 |
| UPMC East | Monroeville | $441.60 | $34.69 – $588.80 |
| UPMC Hamot | Erie | $284.40 | $34.69 – $275.52 |
| UPMC Northwest | Seneca | $269.40 | $34.69 – $222.26 |