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Cath baloon occl urnry 34f 7x2x65 at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$8,935.20
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.
$14,892.00
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.
$207.25 with Aetna vs $4,618.01 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 | $207.25 | ↓ -98% |
| Cigna | New Business ASO | $281.86 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $323.31 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $323.31 | ↓ -96% |
| Highmark BCBS of PA | Managed Care | $323.31 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $323.31 | ↓ -96% |
| Cigna | Commercial | $331.60 | ↓ -96% |
| Health Plan of Upper Ohio Valley | Commercial | $383.00 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $414.50 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $414.50 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $455.95 | ↓ -95% |
| Coventry/First Health | Commercial | $580.30 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $590.92 | ↓ -93% |
| Highmark BCBS of PA | UPMC Emergent | $646.62 | ↓ -93% |
| InterGroup | PPO | $688.07 | ↓ -92% |
| Humana | Commercial | $704.65 | ↓ -92% |
| Multiplan | PPO (Includes Workers' Comp) | $704.65 | ↓ -92% |
| Private Health Care Systems | PPO | $704.65 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $908.67 | ↓ -90% |
| UPMC Health Plan | Commercial | $4,618.01 | ↓ -48% |
| 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 baloon occl urnry 34f 7x2x65 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $15,264.00 | $129.25 – $3,471.30 |
| UPMC Presbyterian | Pittsburgh | $20,352.00 | $158.76 – $5,145.32 |
| UPMC St. Margaret | Pittsburgh | $1,258.20 | $145.25 – $3,904.99 |
| UPMC Northwest | Seneca | $358.80 | $149.50 – $3,850.95 |
| UPMC Somerset | Somerset | $559.80 | $367.42 – $1,906.12 |
| UPMC Williamsport | Williamsport | $3,581.40 | $123.39 – $411.30 |