Fetal aneuploidy trisom risk at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$2,239.80
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.
$3,733.00
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.
$592.00 with Highmark BCBS of PA vs $2,992.85 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 | $592.00 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $699.60 | ↓ -69% |
| United Healthcare Community Plan for Families | Unison Kids | $731.40 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $738.79 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $785.71 | ↓ -65% |
| Health Plan of Upper Ohio Valley | Medicaid | $795.00 | ↓ -65% |
| Health Plan of Upper Ohio Valley | Medicare | $795.00 | ↓ -65% |
| Aetna of PA | Medicare | $834.75 | ↓ -63% |
| United Healthcare | Unison Advantage Non Special Needs | $834.75 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $858.52 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $858.60 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $858.60 | ↓ -62% |
| Aetna | Medicare | $874.50 | ↓ -61% |
| United Healthcare | Unison Advantage Special Needs | $874.50 | ↓ -61% |
| Private Health Care Systems | Workers' Comp | $913.62 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $943.19 | ↓ -58% |
| UPMC Health Plan | Commercial | $987.04 | ↓ -56% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $992.86 | ↓ -56% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,028.05 | ↓ -54% |
| PA Health & Wellness | PA Medicaid HMO | $1,083.87 | ↓ -52% |
| Cigna | New Business ASO | $1,197.14 | ↓ -47% |
| Highmark BCBS of PA | Managed Care | $1,376.85 | ↓ -39% |
| Cigna | Commercial | $1,408.40 | ↓ -37% |
| Health Plan of Upper Ohio Valley | Commercial | $1,626.70 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,643.11 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,200.60 | ↓ -2% |
| Coventry/First Health | Commercial | $2,464.70 | ↑ +10% |
| Highmark BCBS of PA | UPMC Emergent | $2,753.70 | ↑ +23% |
| InterGroup | PPO | $2,922.43 | ↑ +30% |
| Multiplan | PPO (Includes Workers' Comp) | $2,992.85 | ↑ +34% |
| Private Health Care Systems | PPO | $2,992.85 | ↑ +34% |
| Humana | Commercial | $2,992.85 | ↑ +34% |
Visitor-reported prices
Comments
Fetal aneuploidy trisom risk at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $2,239.80 | $592.00 – $1,083.87 |
| UPMC Mercy | Pittsburgh | $2,112.60 | $586.41 – $874.50 |
| UPMC Presbyterian | Pittsburgh | $2,112.60 | $592.00 – $990.06 |
| UPMC St. Margaret | Pittsburgh | $2,112.60 | $592.00 – $992.86 |
| UPMC Altoona | Altoona | $2,092.80 | $586.41 – $2,790.40 |
| UPMC Bedford | Everett | $2,112.60 | $286.84 – $3,168.90 |
| UPMC East | Monroeville | $2,112.60 | $592.00 – $2,816.80 |
| UPMC Hamot | Erie | $2,112.60 | $586.41 – $883.98 |