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Brace knee extender plus 22-30in at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$316.20
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.
$527.00
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.
$115.94 with Highmark Wholecare (prev Gateway) vs $6,361.16 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 | $115.94 | ↓ -63% |
| Aetna | Medicare | $131.75 | ↓ -58% |
| Cigna | New Business ASO | $179.18 | ↓ -43% |
| Cigna | Commercial | $210.80 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $243.47 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $263.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $289.85 | ↓ -8% |
| Coventry/First Health | Commercial | $368.90 | ↑ +17% |
| InterGroup | PPO | $437.41 | ↑ +38% |
| Humana | Commercial | $447.95 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $447.95 | ↑ +42% |
| Private Health Care Systems | PPO | $447.95 | ↑ +42% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $864.84 | ↑ +174% |
| UPMC Work Partners | Workers Comp | $1,223.04 | ↑ +287% |
| Private Health Care Systems | Workers' Comp | $1,422.14 | ↑ +350% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,374.78 | ↑ +651% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,400.40 | ↑ +659% |
| Highmark BCBS of PA | Managed Care | $3,180.58 | ↑ +906% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,214.82 | ↑ +917% |
| UPMC Health Plan | Commercial | $4,629.23 | ↑ +1364% |
| Highmark BCBS of PA | UPMC Emergent | $6,361.16 | ↑ +1912% |
Visitor-reported prices
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Brace knee extender plus 22-30in at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,053.80 | $821.52 – $3,080.70 |
| UPMC Presbyterian | Pittsburgh | $1,068.60 | $213.72 – $5,157.82 |
| UPMC St. Margaret | Pittsburgh | $335.40 | $111.80 – $3,914.48 |
| UPMC Muncy | Muncy | $351.60 | $87.90 – $1,223.04 |
| UPMC Wellsboro | Wellsboro | $424.80 | $95.58 – $1,223.04 |
| UPMC Williamsport | Williamsport | $351.60 | $117.20 – $1,223.04 |