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Brain MRA (blood vessel MRI, with and without contrast) at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$4,800.60
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.
$8,001.00
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.
$316.41 with UPMC Health Plan vs $6,800.85 with Humana — 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 | Managed Medicare | $316.41 | ↓ -93% |
| Health Plan of Upper Ohio Valley | Medicare | $340.48 | ↓ -93% |
| Health Plan of Upper Ohio Valley | Medicaid | $340.48 | ↓ -93% |
| United Healthcare | Unison Advantage Non Special Needs | $357.50 | ↓ -93% |
| Aetna of PA | Medicare | $357.50 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $367.72 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -92% |
| Aetna | Medicare | $374.53 | ↓ -92% |
| United Healthcare | Unison Advantage Special Needs | $374.53 | ↓ -92% |
| UPMC Health Plan | Commercial | $411.28 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $612.32 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $640.15 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $825.51 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $868.99 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $903.25 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $948.64 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $1,826.39 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,011.08 | ↓ -58% |
| Private Health Care Systems | Workers' Comp | $2,123.71 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,507.02 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $2,693.39 | ↓ -44% |
| Cigna | New Business ASO | $2,720.34 | ↓ -43% |
| Cigna | Commercial | $3,200.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,357.61 | ↓ -30% |
| Health Plan of Upper Ohio Valley | Commercial | $3,696.46 | ↓ -23% |
| Highmark BCBS of PA | UPMC Emergent | $5,386.79 | ↑ +12% |
| Coventry/First Health | Commercial | $5,600.70 | ↑ +17% |
| InterGroup | PPO | $6,640.83 | ↑ +38% |
| Private Health Care Systems | PPO | $6,800.85 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $6,800.85 | ↑ +42% |
| Humana | Commercial | $6,800.85 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Brain MRA (blood vessel MRI, with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $6,741.00 | $318.66 – $10,336.20 |
| UPMC Mercy | Pittsburgh | $6,512.40 | $283.82 – $9,768.60 |
| UPMC Presbyterian | Pittsburgh | $9,808.20 | $367.72 – $13,894.95 |
| UPMC St. Margaret | Pittsburgh | $5,810.40 | $293.97 – $8,231.40 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $7,916.40 | $182.13 – $9,235.80 |
| UPMC Carlisle | Carlisle | $2,854.80 | $338.22 – $4,044.30 |
| UPMC Altoona | Altoona | $2,604.00 | $425.00 – $3,472.00 |