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Cath ablt clsfast 7fx100cmx at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$5,457.00
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.
$9,095.00
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.
$638.00 with Aetna vs $5,947.96 with UPMC Health Plan — 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 | $638.00 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $648.57 | ↓ -88% |
| Cigna | New Business ASO | $867.68 | ↓ -84% |
| Cigna | Commercial | $1,020.80 | ↓ -81% |
| Health Plan of Upper Ohio Valley | Commercial | $1,179.02 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,276.00 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $1,403.60 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,780.93 | ↓ -67% |
| Coventry/First Health | Commercial | $1,786.40 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,800.14 | ↓ -67% |
| InterGroup | PPO | $2,118.16 | ↓ -61% |
| Humana | Commercial | $2,169.20 | ↓ -60% |
| Multiplan | PPO (Includes Workers' Comp) | $2,169.20 | ↓ -60% |
| Private Health Care Systems | PPO | $2,169.20 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $2,385.23 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,410.91 | ↓ -56% |
| Highmark BCBS of PA | UPMC Emergent | $4,770.45 | ↓ -13% |
| UPMC Health Plan | Commercial | $5,947.96 | ↑ +9% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
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Cath ablt clsfast 7fx100cmx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,990.00 | $250.50 – $3,236.64 |
| UPMC Presbyterian | Pittsburgh | $8,981.40 | $648.57 – $6,627.13 |
| UPMC St. Margaret | Pittsburgh | $8,284.20 | $572.75 – $5,029.60 |
| UPMC Muncy | Muncy | $3,024.00 | $756.00 – $4,536.00 |
| UPMC Northwest | Seneca | $1,363.20 | $477.00 – $4,959.99 |
| UPMC Somerset | Somerset | $2,271.00 | $635.96 – $2,838.75 |
| UPMC Wellsboro | Wellsboro | $3,656.80 | $822.78 – $4,113.90 |
| UPMC Williamsport | Williamsport | $3,024.00 | $620.19 – $2,067.30 |