healthcosts.net
Ghs inj tendon origin/insertion at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$481.80
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.
$803.00
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.
$42.64 with UPMC Health Plan vs $682.55 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $42.64 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $44.57 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $57.48 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.51 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $66.05 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $102.21 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $116.19 | ↓ -76% |
| Private Health Care Systems | Workers' Comp | $135.10 | ↓ -72% |
| Highmark BCBS of PA | Managed Care - Social Mission | $227.58 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $261.53 | ↓ -46% |
| Cigna | New Business ASO | $273.02 | ↓ -43% |
| Health Plan of Upper Ohio Valley | Medicare | $281.43 | ↓ -42% |
| Health Plan of Upper Ohio Valley | Medicaid | $281.43 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $283.70 | ↓ -41% |
| United Healthcare | Unison Advantage Non Special Needs | $295.50 | ↓ -39% |
| Aetna of PA | Medicare | $295.50 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $303.92 | ↓ -37% |
| AmeriHealth Caritas | Medicare | $303.94 | ↓ -37% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $303.94 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $304.79 | ↓ -37% |
| Aetna | Medicare | $309.57 | ↓ -36% |
| United Healthcare | Unison Advantage Special Needs | $309.57 | ↓ -36% |
| Cigna | Commercial | $321.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $359.15 | ↓ -25% |
| Health Plan of Upper Ohio Valley | Commercial | $370.99 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity | $379.95 | ↓ -21% |
| Coventry/First Health | Commercial | $562.10 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $609.57 | ↑ +27% |
| InterGroup | PPO | $666.49 | ↑ +38% |
| Private Health Care Systems | PPO | $682.55 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $682.55 | ↑ +42% |
| Humana | Commercial | $682.55 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs inj tendon origin/insertion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $441.60 | $42.64 – $662.40 |
| UPMC Presbyterian | Pittsburgh | $682.20 | $42.64 – $966.45 |
| UPMC St. Margaret | Pittsburgh | $467.40 | $42.64 – $662.15 |
| UPMC Wellsboro | Wellsboro | $616.20 | $11.34 – $116.19 |
| UPMC Williamsport | Williamsport | $616.20 | $42.64 – $280.80 |