healthcosts.net
Dexa bone density study >=1 sites appendicular skeleton (peripheral) at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$121.20
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.
?
What you pay up front if you don't use insurance.
$202.00
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.
$6.80 with Cigna vs $292.87 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Cigna | New Business ASO | $6.80 | ↓ -94% |
| Cigna | Commercial | $8.00 | ↓ -93% |
| Health Plan of Upper Ohio Valley | Commercial | $9.24 | ↓ -92% |
| Coventry/First Health | Commercial | $14.00 | ↓ -88% |
| InterGroup | PPO | $16.60 | ↓ -86% |
| Private Health Care Systems | PPO | $17.00 | ↓ -86% |
| Multiplan | PPO (Includes Workers' Comp) | $17.00 | ↓ -86% |
| Humana | Commercial | $17.00 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $30.23 | ↓ -75% |
| United Healthcare Community Plan for Families | Unison Kids | $31.60 | ↓ -74% |
| UPMC Health Plan | Commercial | $38.82 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.75 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $42.90 | ↓ -65% |
| PA Health & Wellness | PA Medicaid HMO | $46.83 | ↓ -61% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $49.11 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $58.59 | ↓ -52% |
| Private Health Care Systems | Workers' Comp | $68.13 | ↓ -44% |
| UPMC Health Plan | Managed Medicare | $78.01 | ↓ -36% |
| Health Plan of Upper Ohio Valley | Medicare | $83.95 | ↓ -31% |
| Health Plan of Upper Ohio Valley | Medicaid | $83.95 | ↓ -31% |
| United Healthcare | Unison Advantage Non Special Needs | $88.15 | ↓ -27% |
| Aetna of PA | Medicare | $88.15 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $90.66 | ↓ -25% |
| AmeriHealth Caritas | Medicare | $90.67 | ↓ -25% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.67 | ↓ -25% |
| Aetna | Medicare | $92.34 | ↓ -24% |
| United Healthcare | Unison Advantage Special Needs | $92.34 | ↓ -24% |
| Highmark BCBS of PA | Managed Care - Social Mission | $109.34 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $136.30 | ↑ +12% |
| Highmark BCBS of PA | Managed Care | $146.43 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Indemnity | $182.55 | ↑ +51% |
| Highmark BCBS of PA | UPMC Emergent | $292.87 | ↑ +142% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dexa bone density study >=1 sites appendicular skeleton (peripheral) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $121.20 | $30.23 – $181.80 |
| UPMC Presbyterian | Pittsburgh | $192.00 | $21.22 – $272.00 |
| UPMC Muncy | Muncy | $127.20 | $22.63 – $169.60 |
| UPMC Northwest | Seneca | $121.20 | $30.23 – $171.70 |
| UPMC Somerset | Somerset | $188.40 | $20.33 – $235.50 |
| UPMC Wellsboro | Wellsboro | $161.60 | $22.63 – $181.80 |
| UPMC Williamsport | Williamsport | $121.20 | $22.63 – $161.60 |