healthcosts.net
Anca screen with reflex to titer -quest at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$58.80
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.
?
What you pay up front if you don't use insurance.
$98.00
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.
$5.50 with UPMC Health Plan vs $83.30 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $5.50 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $5.75 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.42 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.81 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $8.52 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $13.99 | ↓ -76% |
| UPMC Health Plan | Commercial | $14.52 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $14.88 | ↓ -75% |
| Health Plan of Upper Ohio Valley | Medicaid | $15.05 | ↓ -74% |
| Health Plan of Upper Ohio Valley | Medicare | $15.05 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.78 | ↓ -73% |
| Aetna of PA | Medicare | $15.80 | ↓ -73% |
| United Healthcare | Unison Advantage Non Special Needs | $15.80 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $16.25 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $16.25 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $16.25 | ↓ -72% |
| Aetna | Medicare | $16.55 | ↓ -72% |
| United Healthcare | Unison Advantage Special Needs | $16.55 | ↓ -72% |
| Private Health Care Systems | Workers' Comp | $17.30 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $27.41 | ↓ -53% |
| Cigna | New Business ASO | $33.32 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $36.70 | ↓ -38% |
| Cigna | Commercial | $39.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $43.80 | ↓ -26% |
| Health Plan of Upper Ohio Valley | Commercial | $45.28 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity | $58.66 | ↓ -0% |
| Coventry/First Health | Commercial | $68.60 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $73.41 | ↑ +25% |
| InterGroup | PPO | $81.34 | ↑ +38% |
| Humana | Commercial | $83.30 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $83.30 | ↑ +42% |
| Private Health Care Systems | PPO | $83.30 | ↑ +42% |
Visitor-reported prices
Comments
Anca screen with reflex to titer -quest at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $85.80 | $5.50 – $128.70 |
| UPMC Presbyterian | Pittsburgh | $548.40 | $5.00 – $776.90 |
| UPMC St. Margaret | Pittsburgh | $297.00 | $5.50 – $420.75 |
| UPMC Muncy | Muncy | $156.00 | $5.50 – $208.00 |
| UPMC Northwest | Seneca | $42.00 | $5.50 – $59.50 |
| UPMC Somerset | Somerset | $83.40 | $5.50 – $104.25 |
| UPMC Wellsboro | Wellsboro | $188.80 | $5.00 – $136.80 |
| UPMC Williamsport | Williamsport | $103.20 | $5.50 – $137.60 |