Eeg without vid 2-12hr cont mntr at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$623.40
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.
$1,039.00
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.
$183.82 with Highmark BCBS of PA vs $1,286.18 with Highmark BCBS of PA — 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 | $183.82 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $275.89 | ↓ -56% |
| Health Plan of Upper Ohio Valley | Medicare | $296.88 | ↓ -52% |
| Health Plan of Upper Ohio Valley | Medicaid | $296.88 | ↓ -52% |
| United Healthcare | Unison Advantage Non Special Needs | $311.72 | ↓ -50% |
| Aetna of PA | Medicare | $311.72 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $320.63 | ↓ -49% |
| AmeriHealth Caritas | Medicare | $320.63 | ↓ -49% |
| Aetna | Medicare | $326.57 | ↓ -48% |
| United Healthcare | Unison Advantage Special Needs | $326.57 | ↓ -48% |
| Cigna | New Business ASO | $353.26 | ↓ -43% |
| Cigna | Commercial | $415.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $438.87 | ↓ -30% |
| UPMC Health Plan | Managed Medicaid | $457.60 | ↓ -27% |
| United Healthcare Community Plan for Families | Unison Kids | $478.40 | ↓ -23% |
| Health Plan of Upper Ohio Valley | Commercial | $480.02 | ↓ -23% |
| Highmark BCBS of PA | Managed Care - Social Mission | $480.15 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $510.21 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicaid | $616.93 | ↓ -1% |
| Highmark BCBS of PA | Managed Care | $643.07 | ↑ +3% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $649.42 | ↑ +4% |
| Highmark BCBS of PA | Commercial - Indemnity | $683.31 | ↑ +10% |
| PA Health & Wellness | PA Medicaid HMO | $708.95 | ↑ +14% |
| Coventry/First Health | Commercial | $727.30 | ↑ +17% |
| InterGroup | PPO | $862.37 | ↑ +38% |
| Private Health Care Systems | PPO | $883.15 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $883.15 | ↑ +42% |
| Humana | Commercial | $883.15 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $1,286.18 | ↑ +106% |
| Tricare | East Region | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Eeg without vid 2-12hr cont mntr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $553.80 | $183.82 – $708.95 |
| UPMC Mercy | Pittsburgh | $586.80 | $182.09 – $478.40 |
| UPMC Presbyterian | Pittsburgh | $783.60 | $183.82 – $647.59 |
| UPMC Altoona | Altoona | $582.60 | $182.09 – $776.80 |
| UPMC East | Monroeville | $586.80 | $183.82 – $782.40 |
| UPMC Hamot | Erie | $615.00 | $182.09 – $627.33 |
| UPMC Northwest | Seneca | $589.20 | $269.24 – $478.40 |