healthcosts.net
Eeg over 1 hour 95813 - 26 at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$595.80
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.
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What you pay up front if you don't use insurance.
$993.00
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.
$105.63 with Highmark BCBS of PA vs $844.05 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $105.63 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $128.56 | ↓ -78% |
| United Healthcare Community Plan for Families | Unison Kids | $134.40 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $173.32 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $182.45 | ↓ -69% |
| PA Health & Wellness | PA Medicaid HMO | $199.17 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $275.89 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $275.91 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $293.18 | ↓ -51% |
| Health Plan of Upper Ohio Valley | Medicare | $296.88 | ↓ -50% |
| Health Plan of Upper Ohio Valley | Medicaid | $296.88 | ↓ -50% |
| United Healthcare | Unison Advantage Non Special Needs | $311.72 | ↓ -48% |
| Aetna of PA | Medicare | $311.72 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $320.63 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $320.63 | ↓ -46% |
| Aetna | Medicare | $326.57 | ↓ -45% |
| United Healthcare | Unison Advantage Special Needs | $326.57 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $335.91 | ↓ -44% |
| Cigna | New Business ASO | $337.62 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $369.52 | ↓ -38% |
| Private Health Care Systems | Workers' Comp | $390.59 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Indemnity | $392.65 | ↓ -34% |
| Cigna | Commercial | $397.20 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $458.77 | ↓ -23% |
| UPMC Health Plan | Commercial | $480.59 | ↓ -19% |
| Coventry/First Health | Commercial | $695.10 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $739.07 | ↑ +24% |
| InterGroup | PPO | $824.19 | ↑ +38% |
| Private Health Care Systems | PPO | $844.05 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $844.05 | ↑ +42% |
| Humana | Commercial | $844.05 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Eeg over 1 hour 95813 - 26 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,782.80 | $104.63 – $4,174.20 |
| UPMC Presbyterian | Pittsburgh | $2,144.40 | $53.34 – $3,037.90 |
| UPMC St. Margaret | Pittsburgh | $552.00 | $105.63 – $782.00 |
| UPMC Northwest | Seneca | $627.00 | $128.56 – $888.25 |
| UPMC Somerset | Somerset | $907.80 | $48.90 – $1,134.75 |
| UPMC Williamsport | Williamsport | $470.40 | $56.90 – $627.20 |