healthcosts.net
Blood Clotting (PTT) Test at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$131.40
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.
?
What you pay up front if you don't use insurance.
$219.00
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.
$5.59 with UPMC Health Plan vs $186.15 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 Medicare | $5.59 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $5.94 | ↓ -95% |
| Health Plan of Upper Ohio Valley | Medicaid | $6.01 | ↓ -95% |
| Health Plan of Upper Ohio Valley | Medicare | $6.01 | ↓ -95% |
| Aetna of PA | Medicare | $6.31 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $6.31 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $6.49 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $6.49 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6.49 | ↓ -95% |
| Aetna | Medicare | $6.61 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $6.61 | ↓ -95% |
| Private Health Care Systems | Workers' Comp | $6.91 | ↓ -95% |
| UPMC Health Plan | Commercial | $7.02 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $8.25 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $8.62 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.12 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.71 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $11.71 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $12.78 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $20.33 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $27.23 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $32.50 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity | $43.53 | ↓ -67% |
| Highmark BCBS of PA | UPMC Emergent | $54.47 | ↓ -59% |
| Cigna | New Business ASO | $74.46 | ↓ -43% |
| Cigna | Commercial | $87.60 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $101.18 | ↓ -23% |
| Coventry/First Health | Commercial | $153.30 | ↑ +17% |
| InterGroup | PPO | $181.77 | ↑ +38% |
| Humana | Commercial | $186.15 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $186.15 | ↑ +42% |
| Private Health Care Systems | PPO | $186.15 | ↑ +42% |
Visitor-reported prices
Comments
Blood Clotting (PTT) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $115.20 | $5.62 – $176.64 |
| UPMC Mercy | Pittsburgh | $47.40 | $5.01 – $71.10 |
| UPMC Presbyterian | Pittsburgh | $301.20 | $5.94 – $66.30 |
| UPMC St. Margaret | Pittsburgh | $72.00 | $5.19 – $102.00 |
| UPMC East | Monroeville | $89.40 | $5.94 – $119.20 |
| UPMC Hamot | Erie | $133.80 | $5.94 – $156.10 |
| UPMC Lititz | Lititz | $30.60 | $5.95 – $43.35 |
| UPMC Carlisle | Carlisle | $30.60 | $5.95 – $43.35 |