healthcosts.net
Cystoscopy and treatment at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$3,771.00
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.
$6,285.00
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.
$141.90 with UPMC Health Plan vs $5,342.25 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 Medicaid | $141.90 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $148.35 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $191.31 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $201.38 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $219.84 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $716.25 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | ↓ -80% |
| Private Health Care Systems | Workers' Comp | $832.85 | ↓ -78% |
| UPMC Health Plan | Commercial | $1,039.11 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,640.37 | ↓ -57% |
| UPMC Health Plan | Managed Medicare | $1,814.93 | ↓ -52% |
| Health Plan of Upper Ohio Valley | Medicare | $1,953.01 | ↓ -48% |
| Health Plan of Upper Ohio Valley | Medicaid | $1,953.01 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,044.88 | ↓ -46% |
| United Healthcare | Unison Advantage Non Special Needs | $2,050.66 | ↓ -46% |
| Aetna of PA | Medicare | $2,050.66 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,109.06 | ↓ -44% |
| AmeriHealth Caritas | Medicare | $2,109.25 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,109.25 | ↓ -44% |
| Cigna | New Business ASO | $2,136.90 | ↓ -43% |
| Aetna | Medicare | $2,148.31 | ↓ -43% |
| United Healthcare | Unison Advantage Special Needs | $2,148.31 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $2,196.91 | ↓ -42% |
| Cigna | Commercial | $2,514.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,738.68 | ↓ -27% |
| Health Plan of Upper Ohio Valley | Commercial | $2,903.67 | ↓ -23% |
| Highmark BCBS of PA | UPMC Emergent | $4,393.81 | ↑ +17% |
| Coventry/First Health | Commercial | $4,399.50 | ↑ +17% |
| InterGroup | PPO | $5,216.55 | ↑ +38% |
| Private Health Care Systems | PPO | $5,342.25 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $5,342.25 | ↑ +42% |
| Humana | Commercial | $5,342.25 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy and treatment at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,203.40 | $141.90 – $4,805.10 |
| UPMC Presbyterian | Pittsburgh | $4,102.20 | $141.90 – $5,811.45 |
| UPMC St. Margaret | Pittsburgh | $4,170.00 | $141.90 – $5,907.50 |
| UPMC Northwest | Seneca | $4,368.00 | $141.90 – $6,188.00 |
| UPMC Somerset | Somerset | $784.80 | $141.90 – $981.00 |
| UPMC Wellsboro | Wellsboro | $5,744.80 | $81.72 – $830.72 |
| UPMC Williamsport | Williamsport | $4,493.40 | $141.90 – $5,991.20 |