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C-section delivery incl p/p care 59515 at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$3,904.20
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.
$6,507.00
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.
$1,626.75 with Aetna vs $11,793.97 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 |
|---|---|---|---|
| Aetna | Medicare | $1,626.75 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,977.61 | ↓ -49% |
| Cigna | New Business ASO | $2,212.38 | ↓ -43% |
| Cigna | Commercial | $2,602.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,748.56 | ↓ -30% |
| Health Plan of Upper Ohio Valley | Commercial | $3,006.23 | ↓ -23% |
| UPMC Work Partners | Workers Comp | $3,060.29 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,253.50 | ↓ -17% |
| Private Health Care Systems | Workers' Comp | $3,558.48 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $3,578.85 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,403.11 | ↑ +13% |
| Coventry/First Health | Commercial | $4,554.90 | ↑ +17% |
| InterGroup | PPO | $5,400.81 | ↑ +38% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,488.92 | ↑ +41% |
| Humana | Commercial | $5,530.95 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $5,530.95 | ↑ +42% |
| Private Health Care Systems | PPO | $5,530.95 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $5,896.99 | ↑ +51% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,351.23 | ↑ +88% |
| Highmark BCBS of PA | UPMC Emergent | $11,793.97 | ↑ +202% |
Visitor-reported prices
Comments
C-section delivery incl p/p care 59515 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Williamsport | Williamsport | $1,012.80 | $455.76 – $3,060.29 |