healthcosts.net
Cystine urine quantitative at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$464.40
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.
?
What you pay up front if you don't use insurance.
$774.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.36 with UPMC Health Plan vs $657.90 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $21.36 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $22.71 | ↓ -95% |
| Health Plan of Upper Ohio Valley | Medicaid | $22.98 | ↓ -95% |
| Health Plan of Upper Ohio Valley | Medicare | $22.98 | ↓ -95% |
| Aetna of PA | Medicare | $24.13 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $24.13 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $24.82 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $24.82 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $24.82 | ↓ -95% |
| Aetna | Medicare | $25.28 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $25.28 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $25.51 | ↓ -95% |
| Private Health Care Systems | Workers' Comp | $26.41 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $26.67 | ↓ -94% |
| UPMC Health Plan | Commercial | $28.53 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $32.73 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.39 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.20 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $39.52 | ↓ -91% |
| Highmark BCBS of PA | Managed Care - Social Mission | $56.83 | ↓ -88% |
| Highmark BCBS of PA | Managed Care | $76.11 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $90.83 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Indemnity | $121.65 | ↓ -74% |
| Highmark BCBS of PA | UPMC Emergent | $152.23 | ↓ -67% |
| Cigna | New Business ASO | $263.16 | ↓ -43% |
| Cigna | Commercial | $309.60 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $357.59 | ↓ -23% |
| Coventry/First Health | Commercial | $541.80 | ↑ +17% |
| InterGroup | PPO | $642.42 | ↑ +38% |
| Humana | Commercial | $657.90 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $657.90 | ↑ +42% |
| Private Health Care Systems | PPO | $657.90 | ↑ +42% |
Visitor-reported prices
Comments
Cystine urine quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $178.20 | $19.16 – $267.30 |
| UPMC Presbyterian | Pittsburgh | $463.80 | $22.71 – $657.05 |
| UPMC St. Margaret | Pittsburgh | $125.40 | $19.84 – $177.65 |
| UPMC Northwest | Seneca | $125.40 | $20.84 – $177.65 |
| UPMC Somerset | Somerset | $116.40 | $22.71 – $93.75 |
| UPMC Williamsport | Williamsport | $116.40 | $22.71 – $155.20 |