healthcosts.net
Aquatic exercise - group charge at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$95.40
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.
$159.00
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.
$25.73 with Highmark BCBS of PA vs $124.90 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.73 | ↓ -73% |
| Aetna | Medicare | $33.50 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $44.15 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $44.68 | ↓ -53% |
| Cigna | New Business ASO | $45.56 | ↓ -52% |
| Private Health Care Systems | Workers' Comp | $51.34 | ↓ -46% |
| Cigna | Commercial | $53.60 | ↓ -44% |
| Highmark BCBS of PA | Managed Care | $59.83 | ↓ -37% |
| Health Plan of Upper Ohio Valley | Commercial | $61.91 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $67.00 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $71.41 | ↓ -25% |
| PA Health & Wellness | PA Medicaid HMO | $73.70 | ↓ -23% |
| Coventry/First Health | Commercial | $93.80 | ↓ -2% |
| Highmark BCBS of PA | Commercial - Indemnity | $95.63 | ↑ +0% |
| InterGroup | PPO | $111.22 | ↑ +17% |
| Humana | Commercial | $113.90 | ↑ +19% |
| Multiplan | PPO (Includes Workers' Comp) | $113.90 | ↑ +19% |
| Private Health Care Systems | PPO | $113.90 | ↑ +19% |
| Highmark BCBS of PA | UPMC Emergent | $119.67 | ↑ +25% |
| UPMC Health Plan | Commercial | $124.90 | ↑ +31% |
Visitor-reported prices
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Aquatic exercise - group charge at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $96.00 | $25.48 – $144.00 |
| UPMC Presbyterian | Pittsburgh | $70.80 | $8.50 – $139.16 |
| UPMC St. Margaret | Pittsburgh | $156.60 | $25.73 – $221.85 |
| UPMC Muncy | Muncy | $93.00 | $9.06 – $56.00 |
| UPMC Northwest | Seneca | $80.40 | $33.50 – $113.90 |
| UPMC Wellsboro | Wellsboro | $112.80 | $9.06 – $57.60 |
| UPMC Williamsport | Williamsport | $93.00 | $9.06 – $124.00 |