healthcosts.net
Bundled special stain group 1 microorganisms at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$145.80
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.
$243.00
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.
$8.01 with Highmark BCBS of PA vs $125.55 with PA Health & Wellness — 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 BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $8.01 | ↓ -95% |
| UPMC Health Plan | Commercial | $8.19 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $13.91 | ↓ -90% |
| Highmark BCBS of PA | Managed Care | $18.64 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $22.24 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Indemnity | $29.78 | ↓ -80% |
| Cigna | New Business ASO | $35.36 | ↓ -76% |
| Highmark BCBS of PA | UPMC Emergent | $37.27 | ↓ -74% |
| Cigna | Commercial | $41.60 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $47.34 | ↓ -68% |
| Health Plan of Upper Ohio Valley | Commercial | $48.05 | ↓ -67% |
| Health Plan of Upper Ohio Valley | Medicare | $50.94 | ↓ -65% |
| Health Plan of Upper Ohio Valley | Medicaid | $50.94 | ↓ -65% |
| United Healthcare | Unison Advantage Non Special Needs | $53.49 | ↓ -63% |
| Aetna of PA | Medicare | $53.49 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.01 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $55.02 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.02 | ↓ -62% |
| Aetna | Medicare | $56.03 | ↓ -62% |
| United Healthcare | Unison Advantage Special Needs | $56.03 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $62.17 | ↓ -57% |
| Private Health Care Systems | Workers' Comp | $72.29 | ↓ -50% |
| Coventry/First Health | Commercial | $72.80 | ↓ -50% |
| UPMC Health Plan | Managed Medicaid | $81.04 | ↓ -44% |
| United Healthcare Community Plan for Families | Unison Kids | $84.72 | ↓ -42% |
| InterGroup | PPO | $86.32 | ↓ -41% |
| Private Health Care Systems | PPO | $88.40 | ↓ -39% |
| Multiplan | PPO (Includes Workers' Comp) | $88.40 | ↓ -39% |
| Humana | Commercial | $88.40 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicaid | $109.25 | ↓ -25% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $115.01 | ↓ -21% |
| PA Health & Wellness | PA Medicaid HMO | $125.55 | ↓ -14% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $56.40 | $7.94 – $84.72 |
| UPMC Presbyterian | Pittsburgh | $799.80 | $8.01 – $1,133.05 |
| UPMC St. Margaret | Pittsburgh | $66.60 | $8.01 – $115.01 |
| UPMC Muncy | Muncy | $161.40 | $40.35 – $215.20 |
| UPMC Northwest | Seneca | $67.20 | $8.19 – $95.20 |
| UPMC Somerset | Somerset | $116.40 | $7.86 – $145.50 |
| UPMC Wellsboro | Wellsboro | $195.20 | $43.92 – $219.60 |
| UPMC Williamsport | Williamsport | $161.40 | $50.94 – $215.20 |