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Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$5,142.60
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.
$8,571.00
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.
$650.96 with Highmark BCBS of PA vs $5,643.15 with Private Health Care Systems — 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 | $650.96 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,460.58 | ↓ -72% |
| Aetna | Medicare | $1,659.75 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,787.47 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,806.76 | ↓ -65% |
| UPMC Health Plan | Commercial | $1,921.06 | ↓ -63% |
| PA Health & Wellness | PA Medicaid HMO | $2,190.87 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,245.97 | ↓ -56% |
| Cigna | New Business ASO | $2,257.26 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $2,393.99 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,419.77 | ↓ -53% |
| Cigna | Commercial | $2,655.60 | ↓ -48% |
| Health Plan of Upper Ohio Valley | Commercial | $2,775.10 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,319.50 | ↓ -35% |
| Coventry/First Health | Commercial | $4,647.30 | ↓ -10% |
| Highmark BCBS of PA | UPMC Emergent | $4,787.98 | ↓ -7% |
| InterGroup | PPO | $5,510.37 | ↑ +7% |
| Humana | Commercial | $5,643.15 | ↑ +10% |
| Multiplan | PPO (Includes Workers' Comp) | $5,643.15 | ↑ +10% |
| Private Health Care Systems | PPO | $5,643.15 | ↑ +10% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,811.80 | $34.80 – $1,045.36 |
| UPMC Presbyterian | Pittsburgh | $15,638.40 | $24.24 – $2,140.41 |
| UPMC St. Margaret | Pittsburgh | $11,917.80 | $650.96 – $5,979.75 |
| UPMC Northwest | Seneca | $2,530.20 | $1,054.25 – $3,584.45 |
| UPMC Somerset | Somerset | $5,022.00 | $141.00 – $792.93 |
| UPMC Williamsport | Williamsport | $1,989.60 | $663.20 – $2,984.40 |