Gastro/jejuno tube, std at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,145.40
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.
$1,909.00
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.
$24.00 with Aetna vs $474.80 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 |
|---|---|---|---|
| Aetna | Medicare | $24.00 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $32.34 | ↓ -97% |
| Cigna | New Business ASO | $32.64 | ↓ -97% |
| Cigna | Commercial | $38.40 | ↓ -97% |
| Health Plan of Upper Ohio Valley | Commercial | $44.35 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $48.00 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $48.51 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.73 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $62.02 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $64.55 | ↓ -94% |
| Coventry/First Health | Commercial | $67.20 | ↓ -94% |
| Private Health Care Systems | Workers' Comp | $72.12 | ↓ -94% |
| InterGroup | PPO | $79.68 | ↓ -93% |
| Multiplan | PPO (Includes Workers' Comp) | $81.60 | ↓ -93% |
| Humana | Commercial | $81.60 | ↓ -93% |
| Private Health Care Systems | PPO | $81.60 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $177.25 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $179.17 | ↓ -84% |
| Highmark BCBS of PA | Managed Care | $237.40 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity | $239.95 | ↓ -79% |
| UPMC Health Plan | Commercial | $267.44 | ↓ -77% |
| Highmark BCBS of PA | UPMC Emergent | $474.80 | ↓ -59% |
Visitor-reported prices
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Gastro/jejuno tube, std at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,272.60 | $26.82 – $184.30 |
| UPMC Mercy | Pittsburgh | $702.60 | $62.02 – $145.53 |
| UPMC Presbyterian | Pittsburgh | $2,332.20 | $36.70 – $297.97 |
| UPMC St. Margaret | Pittsburgh | $1,114.80 | $62.02 – $226.14 |
| UPMC Altoona | Altoona | $790.80 | $11.00 – $184.30 |
| UPMC East | Monroeville | $1,269.60 | $23.75 – $426.93 |
| UPMC Hamot | Erie | $1,338.60 | $62.02 – $63.94 |
| UPMC Northwest | Seneca | $526.20 | $62.02 – $223.01 |