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Blood Clotting (PT/INR) Test at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$96.00
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.
$160.00
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.
$3.61 with UPMC Health Plan vs $90.10 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $3.61 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $3.99 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $4.24 | ↓ -96% |
| Health Plan of Upper Ohio Valley | Medicaid | $4.29 | ↓ -96% |
| Health Plan of Upper Ohio Valley | Medicare | $4.29 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $4.40 | ↓ -95% |
| Aetna of PA | Medicare | $4.50 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $4.50 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $4.60 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $4.63 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.63 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.63 | ↓ -95% |
| Aetna | Medicare | $4.72 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $4.72 | ↓ -95% |
| Private Health Care Systems | Workers' Comp | $4.93 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.93 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.24 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $6.82 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7.69 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $13.36 | ↓ -86% |
| Highmark BCBS of PA | Managed Care | $17.89 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $21.35 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Indemnity | $28.60 | ↓ -70% |
| Highmark BCBS of PA | UPMC Emergent | $35.79 | ↓ -63% |
| Cigna | New Business ASO | $36.04 | ↓ -62% |
| Cigna | Commercial | $42.40 | ↓ -56% |
| Health Plan of Upper Ohio Valley | Commercial | $48.97 | ↓ -49% |
| Coventry/First Health | Commercial | $74.20 | ↓ -23% |
| InterGroup | PPO | $87.98 | ↓ -8% |
| Humana | Commercial | $90.10 | ↓ -6% |
| Multiplan | PPO (Includes Workers' Comp) | $90.10 | ↓ -6% |
| Private Health Care Systems | PPO | $90.10 | ↓ -6% |
Visitor-reported prices
Comments
Blood Clotting (PT/INR) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $76.20 | $3.78 – $97.52 |
| UPMC Mercy | Pittsburgh | $61.20 | $3.58 – $91.80 |
| UPMC Presbyterian | Pittsburgh | $308.40 | $3.80 – $436.90 |
| UPMC St. Margaret | Pittsburgh | $56.40 | $3.61 – $79.90 |
| UPMC East | Monroeville | $58.80 | $3.57 – $78.40 |
| UPMC Hamot | Erie | $130.20 | $4.00 – $151.90 |
| UPMC Carlisle | Carlisle | $22.20 | $4.00 – $31.45 |
| UPMC Altoona | Altoona | $54.60 | $4.00 – $72.80 |