Eeg phy/qhp>84 hr w/veeg at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$3,021.60
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.
$5,036.00
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.
$236.08 with Highmark BCBS of PA vs $4,280.60 with Private Health Care Systems — 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 | $236.08 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $360.77 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $377.17 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $486.38 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $503.74 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $511.99 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $558.93 | ↓ -82% |
| Private Health Care Systems | Workers' Comp | $585.74 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $616.66 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $655.26 | ↓ -78% |
| Highmark BCBS of PA | Managed Care | $825.89 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $877.58 | ↓ -71% |
| Aetna | Medicare | $1,259.00 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $1,651.83 | ↓ -45% |
| Cigna | New Business ASO | $1,712.24 | ↓ -43% |
| Cigna | Commercial | $2,014.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,127.21 | ↓ -30% |
| Health Plan of Upper Ohio Valley | Commercial | $2,326.63 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,518.00 | ↓ -17% |
| Coventry/First Health | Commercial | $3,525.20 | ↑ +17% |
| InterGroup | PPO | $4,179.88 | ↑ +38% |
| Humana | Commercial | $4,280.60 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $4,280.60 | ↑ +42% |
| Private Health Care Systems | PPO | $4,280.60 | ↑ +42% |
Visitor-reported prices
Comments
Eeg phy/qhp>84 hr w/veeg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $2,850.60 | $236.08 – $558.93 |
| UPMC Presbyterian | Pittsburgh | $3,915.00 | $236.08 – $632.93 |