Budesonide non-comp con at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$763.20
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.
?
What you pay up front if you don't use insurance.
$1,272.00
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.
$0.84 with United Healthcare Community Plan for Families vs $1,735.76 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $0.84 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison Kids | $0.92 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $235.99 | ↓ -69% |
| Aetna | Medicare | $252.00 | ↓ -67% |
| Cigna | New Business ASO | $342.72 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $362.78 | ↓ -52% |
| Cigna | Commercial | $403.20 | ↓ -47% |
| Private Health Care Systems | Workers' Comp | $421.85 | ↓ -45% |
| UPMC Health Plan | Commercial | $425.78 | ↓ -44% |
| Health Plan of Upper Ohio Valley | Commercial | $465.70 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $504.00 | ↓ -34% |
| PA Health & Wellness | PA Medicaid HMO | $554.40 | ↓ -27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $648.00 | ↓ -15% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $655.00 | ↓ -14% |
| Coventry/First Health | Commercial | $705.60 | ↓ -8% |
| InterGroup | PPO | $836.64 | ↑ +10% |
| Multiplan | PPO (Includes Workers' Comp) | $856.80 | ↑ +12% |
| Private Health Care Systems | PPO | $856.80 | ↑ +12% |
| Humana | Commercial | $856.80 | ↑ +12% |
| Highmark BCBS of PA | Managed Care | $867.88 | ↑ +14% |
| Highmark BCBS of PA | Commercial - Indemnity | $877.23 | ↑ +15% |
| Highmark BCBS of PA | UPMC Emergent | $1,735.76 | ↑ +127% |
Visitor-reported prices
Comments
Budesonide non-comp con at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $604.80 | $0.88 – $235.99 |
| UPMC Presbyterian | Pittsburgh | $604.80 | $0.80 – $235.99 |
| UPMC St. Margaret | Pittsburgh | $1,020.80 | $0.88 – $235.99 |
| UPMC Western Psychiatric | Pittsburgh | $604.80 | $231.25 – $231.25 |
| UPMC Altoona | Altoona | $29.60 | $0.80 – $233.76 |
| UPMC East | Monroeville | $1,396.00 | $0.80 – $1,396.00 |
| UPMC Hamot | Erie | $1,132.00 | $0.80 – $8.77 |
| UPMC Northwest | Seneca | $932.80 | $0.84 – $606.70 |