healthcosts.net
Blood split unit at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$349.80
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.
$583.00
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.
$50.67 with Highmark BCBS of PA vs $762.17 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $50.67 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $69.44 | ↓ -80% |
| Private Health Care Systems | Workers' Comp | $80.74 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $87.98 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $117.84 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $125.63 | ↓ -64% |
| Health Plan of Upper Ohio Valley | Medicaid | $135.19 | ↓ -61% |
| Health Plan of Upper Ohio Valley | Medicare | $135.19 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $140.62 | ↓ -60% |
| Aetna of PA | Medicare | $141.95 | ↓ -59% |
| United Healthcare | Unison Advantage Non Special Needs | $141.95 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $145.99 | ↓ -58% |
| AmeriHealth Caritas | Medicare | $146.01 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $146.01 | ↓ -58% |
| Aetna | Medicare | $148.71 | ↓ -57% |
| United Healthcare | Unison Advantage Special Needs | $148.71 | ↓ -57% |
| Cigna | New Business ASO | $175.78 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity | $188.34 | ↓ -46% |
| Cigna | Commercial | $206.80 | ↓ -41% |
| Highmark BCBS of PA | UPMC Emergent | $235.67 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $238.85 | ↓ -32% |
| PA Health & Wellness | PA Medicaid HMO | $284.35 | ↓ -19% |
| Coventry/First Health | Commercial | $361.90 | ↑ +3% |
| InterGroup | PPO | $429.11 | ↑ +23% |
| Humana | Commercial | $439.45 | ↑ +26% |
| Multiplan | PPO (Includes Workers' Comp) | $439.45 | ↑ +26% |
| Private Health Care Systems | PPO | $439.45 | ↑ +26% |
| UPMC Health Plan | Commercial | $762.17 | ↑ +118% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Blood split unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $320.40 | $50.19 – $480.60 |
| UPMC Presbyterian | Pittsburgh | $664.20 | $50.67 – $849.19 |
| UPMC St. Margaret | Pittsburgh | $356.40 | $50.67 – $504.90 |
| UPMC Muncy | Muncy | $247.80 | $61.95 – $330.40 |
| UPMC Northwest | Seneca | $300.60 | $69.44 – $425.85 |
| UPMC Somerset | Somerset | $192.60 | $49.68 – $240.75 |
| UPMC Wellsboro | Wellsboro | $247.80 | $69.44 – $371.70 |
| UPMC Williamsport | Williamsport | $247.80 | $69.44 – $330.40 |