Debrid ecz/inf skin up tp 10% body 11000 at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$487.80
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.
$813.00
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.
$32.23 with UPMC Health Plan vs $691.05 with Humana — 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 Medicaid | $32.23 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $33.70 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $43.45 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $45.74 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $49.93 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $93.83 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $129.28 | ↓ -73% |
| UPMC Health Plan | Commercial | $135.72 | ↓ -72% |
| Private Health Care Systems | Workers' Comp | $150.33 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $208.90 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $260.42 | ↓ -47% |
| Cigna | New Business ASO | $276.42 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $279.77 | ↓ -43% |
| Cigna | Commercial | $325.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $348.77 | ↓ -29% |
| Health Plan of Upper Ohio Valley | Commercial | $375.61 | ↓ -23% |
| UPMC Health Plan | Managed Medicare | $542.33 | ↑ +11% |
| Highmark BCBS of PA | UPMC Emergent | $559.55 | ↑ +15% |
| Coventry/First Health | Commercial | $569.10 | ↑ +17% |
| Health Plan of Upper Ohio Valley | Medicare | $583.59 | ↑ +20% |
| Health Plan of Upper Ohio Valley | Medicaid | $583.59 | ↑ +20% |
| Aetna of PA | Medicare | $612.77 | ↑ +26% |
| United Healthcare | Unison Advantage Non Special Needs | $612.77 | ↑ +26% |
| Highmark Wholecare (prev Gateway) | Medicare | $630.22 | ↑ +29% |
| AmeriHealth Caritas | Medicare | $630.28 | ↑ +29% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $630.28 | ↑ +29% |
| Aetna | Medicare | $641.95 | ↑ +32% |
| United Healthcare | Unison Advantage Special Needs | $641.95 | ↑ +32% |
| InterGroup | PPO | $674.79 | ↑ +38% |
| Private Health Care Systems | PPO | $691.05 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $691.05 | ↑ +42% |
| Humana | Commercial | $691.05 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Debrid ecz/inf skin up tp 10% body 11000 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $404.40 | $32.23 – $630.28 |
| UPMC Mercy | Pittsburgh | $622.20 | $32.23 – $641.95 |
| UPMC Presbyterian | Pittsburgh | $571.80 | $32.23 – $727.20 |
| UPMC St. Margaret | Pittsburgh | $424.20 | $32.23 – $641.95 |
| UPMC Altoona | Altoona | $389.40 | $29.30 – $519.20 |
| UPMC Bedford | Everett | $640.80 | $30.77 – $961.20 |
| UPMC Carlisle | Carlisle | $1,488.00 | $37.21 – $2,108.00 |
| UPMC Cole | Coudersport | $220.20 | $9.98 – $2,325.85 |