healthcosts.net
Aluminum - quest at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$110.40
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.
$184.00
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.
$23.68 with UPMC Health Plan vs $231.22 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $23.68 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $25.18 | ↓ -77% |
| Health Plan of Upper Ohio Valley | Medicaid | $25.48 | ↓ -77% |
| Health Plan of Upper Ohio Valley | Medicare | $25.48 | ↓ -77% |
| Aetna of PA | Medicare | $26.75 | ↓ -76% |
| United Healthcare | Unison Advantage Non Special Needs | $26.75 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $27.52 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.52 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $27.52 | ↓ -75% |
| Aetna | Medicare | $28.03 | ↓ -75% |
| United Healthcare | Unison Advantage Special Needs | $28.03 | ↓ -75% |
| Private Health Care Systems | Workers' Comp | $29.28 | ↓ -73% |
| UPMC Health Plan | Commercial | $37.28 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $38.74 | ↓ -65% |
| United Healthcare Community Plan for Families | Unison Kids | $40.50 | ↓ -63% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $49.71 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicaid | $52.23 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.98 | ↓ -50% |
| PA Health & Wellness | PA Medicaid HMO | $60.02 | ↓ -46% |
| Cigna | New Business ASO | $62.56 | ↓ -43% |
| Cigna | Commercial | $73.60 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $85.01 | ↓ -23% |
| Highmark BCBS of PA | Managed Care - Social Mission | $86.32 | ↓ -22% |
| Highmark BCBS of PA | Managed Care | $115.61 | ↑ +5% |
| Coventry/First Health | Commercial | $128.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $137.97 | ↑ +25% |
| InterGroup | PPO | $152.72 | ↑ +38% |
| Humana | Commercial | $156.40 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $156.40 | ↑ +42% |
| Private Health Care Systems | PPO | $156.40 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $184.78 | ↑ +67% |
| Highmark BCBS of PA | UPMC Emergent | $231.22 | ↑ +109% |
Visitor-reported prices
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Aluminum - quest at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $158.40 | $21.24 – $237.60 |
| UPMC Presbyterian | Pittsburgh | $189.60 | $25.18 – $268.60 |
| UPMC St. Margaret | Pittsburgh | $178.20 | $22.00 – $252.45 |
| UPMC Muncy | Muncy | $319.20 | $25.18 – $425.60 |
| UPMC Northwest | Seneca | $168.00 | $23.11 – $238.00 |
| UPMC Somerset | Somerset | $128.40 | $25.18 – $160.50 |
| UPMC Wellsboro | Wellsboro | $386.40 | $25.18 – $434.70 |
| UPMC Williamsport | Williamsport | $319.20 | $25.18 – $425.60 |