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Boot walker genesis full shell 3-strap s at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$936.00
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.
$1,560.00
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.
$37.84 with Highmark Wholecare (prev Gateway) vs $2,767.48 with Highmark BCBS of PA — 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 Wholecare (prev Gateway) | Medicaid | $37.84 | ↓ -96% |
| Aetna | Medicare | $43.00 | ↓ -95% |
| Cigna | New Business ASO | $58.48 | ↓ -94% |
| Cigna | Commercial | $68.80 | ↓ -93% |
| Health Plan of Upper Ohio Valley | Commercial | $79.46 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $86.00 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $94.60 | ↓ -90% |
| Coventry/First Health | Commercial | $120.40 | ↓ -87% |
| InterGroup | PPO | $142.76 | ↓ -85% |
| Humana | Commercial | $146.20 | ↓ -84% |
| Multiplan | PPO (Includes Workers' Comp) | $146.20 | ↓ -84% |
| Private Health Care Systems | PPO | $146.20 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $376.26 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $532.07 | ↓ -43% |
| Private Health Care Systems | Workers' Comp | $618.69 | ↓ -34% |
| UPMC Health Plan | Commercial | $809.54 | ↓ -14% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,033.17 | ↑ +10% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,044.32 | ↑ +12% |
| Highmark BCBS of PA | Managed Care | $1,383.74 | ↑ +48% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,398.64 | ↑ +49% |
| Highmark BCBS of PA | UPMC Emergent | $2,767.48 | ↑ +196% |
Visitor-reported prices
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Boot walker genesis full shell 3-strap s at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $838.80 | $335.52 – $1,258.20 |
| UPMC Presbyterian | Pittsburgh | $866.40 | $27.48 – $901.98 |
| UPMC St. Margaret | Pittsburgh | $931.20 | $310.40 – $1,319.20 |
| UPMC Muncy | Muncy | $805.80 | $201.45 – $1,074.40 |
| UPMC Northwest | Seneca | $861.60 | $43.00 – $967.32 |
| UPMC Wellsboro | Wellsboro | $974.40 | $219.24 – $1,096.20 |
| UPMC Williamsport | Williamsport | $805.80 | $33.40 – $532.07 |