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Brcassure comprehensive panel-sendout at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$2,287.20
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.
$3,812.00
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.
$1,088.00 with Cigna vs $8,157.14 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 |
|---|---|---|---|
| Cigna | New Business ASO | $1,088.00 | ↓ -52% |
| Cigna | Commercial | $1,280.00 | ↓ -44% |
| UPMC Health Plan | Commercial | $1,351.68 | ↓ -41% |
| Health Plan of Upper Ohio Valley | Commercial | $1,478.40 | ↓ -35% |
| UPMC Health Plan | Managed Medicare | $1,695.86 | ↓ -26% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,753.65 | ↓ -23% |
| UPMC Health Plan | Managed Medicaid | $1,784.32 | ↓ -22% |
| UPMC Work Partners | Workers Comp | $1,803.57 | ↓ -21% |
| Health Plan of Upper Ohio Valley | Medicaid | $1,824.88 | ↓ -20% |
| Health Plan of Upper Ohio Valley | Medicare | $1,824.88 | ↓ -20% |
| United Healthcare Community Plan for Families | Unison Kids | $1,865.43 | ↓ -18% |
| Aetna of PA | Medicare | $1,916.12 | ↓ -16% |
| United Healthcare | Unison Advantage Non Special Needs | $1,916.12 | ↓ -16% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,970.69 | ↓ -14% |
| AmeriHealth Caritas | Medicare | $1,970.87 | ↓ -14% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,970.87 | ↓ -14% |
| Aetna | Medicare | $2,007.37 | ↓ -12% |
| United Healthcare | Unison Advantage Special Needs | $2,007.37 | ↓ -12% |
| Private Health Care Systems | Workers' Comp | $2,097.17 | ↓ -8% |
| Coventry/First Health | Commercial | $2,240.00 | ↓ -2% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,405.59 | ↑ +5% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,532.28 | ↑ +11% |
| InterGroup | PPO | $2,656.00 | ↑ +16% |
| Humana | Commercial | $2,720.00 | ↑ +19% |
| Multiplan | PPO (Includes Workers' Comp) | $2,720.00 | ↑ +19% |
| Private Health Care Systems | PPO | $2,720.00 | ↑ +19% |
| PA Health & Wellness | PA Medicaid HMO | $2,764.40 | ↑ +21% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,045.35 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $4,078.57 | ↑ +78% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,867.31 | ↑ +113% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,518.72 | ↑ +185% |
| Highmark BCBS of PA | UPMC Emergent | $8,157.14 | ↑ +257% |
Visitor-reported prices
Comments
Brcassure comprehensive panel-sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,920.00 | $892.80 – $2,880.00 |
| UPMC Presbyterian | Pittsburgh | $1,920.00 | $1,500.48 – $2,720.00 |
| UPMC St. Margaret | Pittsburgh | $1,920.00 | $806.40 – $2,720.00 |
| UPMC Muncy | Muncy | $2,222.40 | $508.80 – $2,713.60 |
| UPMC Northwest | Seneca | $1,920.00 | $1,280.00 – $2,720.00 |
| UPMC Wellsboro | Wellsboro | $2,560.00 | $576.00 – $2,880.00 |
| UPMC Williamsport | Williamsport | $1,920.00 | $864.00 – $2,560.00 |