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Genetic tstg severe inh cond at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$12,863.40
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.
$21,439.00
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.
$395.08 with Cigna vs $7,022.07 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 |
|---|---|---|---|
| Cigna | New Business ASO | $395.08 | ↓ -97% |
| Cigna | Commercial | $464.80 | ↓ -96% |
| Health Plan of Upper Ohio Valley | Commercial | $536.84 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $639.10 | ↓ -95% |
| Coventry/First Health | Commercial | $813.40 | ↓ -94% |
| InterGroup | PPO | $964.46 | ↓ -93% |
| Humana | Commercial | $987.70 | ↓ -92% |
| Multiplan | PPO (Includes Workers' Comp) | $987.70 | ↓ -92% |
| Private Health Care Systems | PPO | $987.70 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,509.63 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $2,275.45 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $2,419.96 | ↓ -81% |
| Health Plan of Upper Ohio Valley | Medicaid | $2,448.56 | ↓ -81% |
| Health Plan of Upper Ohio Valley | Medicare | $2,448.56 | ↓ -81% |
| Aetna of PA | Medicare | $2,570.99 | ↓ -80% |
| United Healthcare | Unison Advantage Non Special Needs | $2,570.99 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,621.59 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,644.20 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $2,644.44 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,644.44 | ↓ -79% |
| Aetna | Medicare | $2,693.42 | ↓ -79% |
| United Healthcare | Unison Advantage Special Needs | $2,693.42 | ↓ -79% |
| Private Health Care Systems | Workers' Comp | $2,813.91 | ↓ -78% |
| Highmark BCBS of PA | Managed Care | $3,511.04 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,190.03 | ↓ -67% |
| UPMC Health Plan | Commercial | $5,350.78 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,611.64 | ↓ -56% |
| Highmark BCBS of PA | UPMC Emergent | $7,022.07 | ↓ -45% |
Visitor-reported prices
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Genetic tstg severe inh cond at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,156.20 | $1,495.39 – $5,609.70 |
| UPMC Presbyterian | Pittsburgh | $18,150.60 | $409.68 – $6,305.54 |
| UPMC St. Margaret | Pittsburgh | $5,325.60 | $1,509.63 – $5,298.05 |
| UPMC Muncy | Muncy | $13,264.80 | $980.25 – $5,228.00 |
| UPMC Northwest | Seneca | $14,904.00 | $910.40 – $2,644.44 |
| UPMC Wellsboro | Wellsboro | $13,264.80 | $1,122.30 – $5,611.50 |
| UPMC Williamsport | Williamsport | $11,622.60 | $852.01 – $2,644.20 |