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Eval/fit voice prosthesis iii, st at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$955.80
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.
$1,593.00
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.
$196.51 with UPMC Work Partners vs $1,354.05 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $196.51 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $203.51 | ↓ -79% |
| Private Health Care Systems | Workers' Comp | $228.50 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $353.41 | ↓ -63% |
| Aetna | Medicare | $398.25 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $473.31 | ↓ -50% |
| Cigna | New Business ASO | $541.62 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $564.84 | ↓ -41% |
| UPMC Health Plan | Commercial | $573.07 | ↓ -40% |
| Cigna | Commercial | $637.20 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $735.97 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity | $756.48 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $796.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $876.15 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $946.62 | ↓ -1% |
| Coventry/First Health | Commercial | $1,115.10 | ↑ +17% |
| InterGroup | PPO | $1,322.19 | ↑ +38% |
| Humana | Commercial | $1,354.05 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $1,354.05 | ↑ +42% |
| Private Health Care Systems | PPO | $1,354.05 | ↑ +42% |
Visitor-reported prices
Comments
Eval/fit voice prosthesis iii, st at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $852.60 | $201.59 – $1,278.90 |
| UPMC Presbyterian | Pittsburgh | $979.80 | $91.52 – $1,388.05 |
| UPMC St. Margaret | Pittsburgh | $806.40 | $196.51 – $1,142.40 |
| UPMC Muncy | Muncy | $310.20 | $77.55 – $413.60 |
| UPMC Wellsboro | Wellsboro | $375.20 | $84.42 – $422.10 |
| UPMC Williamsport | Williamsport | $310.20 | $97.63 – $413.60 |