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CT Angiogram of the Chest (for blood clot) at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$3,170.40
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.
$5,284.00
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.
$157.72 with UPMC Health Plan vs $4,491.40 with Humana — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $157.72 | ↓ -95% |
| Health Plan of Upper Ohio Valley | Medicare | $169.72 | ↓ -95% |
| Health Plan of Upper Ohio Valley | Medicaid | $169.72 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $178.21 | ↓ -94% |
| Aetna of PA | Medicare | $178.21 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.28 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $183.30 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.30 | ↓ -94% |
| Aetna | Medicare | $186.69 | ↓ -94% |
| United Healthcare | Unison Advantage Special Needs | $186.69 | ↓ -94% |
| UPMC Health Plan | Commercial | $283.78 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $336.57 | ↓ -89% |
| United Healthcare Community Plan for Families | Unison Kids | $351.87 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $453.75 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $477.65 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $500.82 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $521.43 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $783.06 | ↓ -75% |
| Private Health Care Systems | Workers' Comp | $910.54 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,115.07 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,390.04 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $1,493.38 | ↓ -53% |
| Cigna | New Business ASO | $1,796.56 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,861.66 | ↓ -41% |
| Cigna | Commercial | $2,113.60 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $2,441.21 | ↓ -23% |
| Highmark BCBS of PA | UPMC Emergent | $2,986.77 | ↓ -6% |
| Coventry/First Health | Commercial | $3,698.80 | ↑ +17% |
| InterGroup | PPO | $4,385.72 | ↑ +38% |
| Private Health Care Systems | PPO | $4,491.40 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $4,491.40 | ↑ +42% |
| Humana | Commercial | $4,491.40 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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CT Angiogram of the Chest (for blood clot) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $3,562.20 | $158.84 – $5,462.04 |
| UPMC Mercy | Pittsburgh | $3,441.00 | $141.48 – $5,161.50 |
| UPMC Presbyterian | Pittsburgh | $5,181.60 | $183.30 – $7,340.60 |
| UPMC St. Margaret | Pittsburgh | $3,067.20 | $146.54 – $4,345.20 |
| UPMC East | Monroeville | $3,282.60 | $170.18 – $4,376.80 |
| UPMC Hamot | Erie | $2,637.60 | $195.88 – $3,077.20 |
| UPMC McKeesport | Mckeesport | $3,193.20 | $157.31 – $4,523.70 |
| UPMC Carlisle | Carlisle | $1,424.40 | $168.60 – $2,017.90 |