healthcosts.net
Ghs protoporphyrins fract at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$336.60
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.
$561.00
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.
$13.34 with UPMC Health Plan vs $183.21 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $13.34 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $14.19 | ↓ -96% |
| Health Plan of Upper Ohio Valley | Medicaid | $14.35 | ↓ -96% |
| Health Plan of Upper Ohio Valley | Medicare | $14.35 | ↓ -96% |
| Aetna of PA | Medicare | $15.07 | ↓ -96% |
| United Healthcare | Unison Advantage Non Special Needs | $15.07 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $15.50 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.50 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $15.50 | ↓ -95% |
| Aetna | Medicare | $15.79 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $15.79 | ↓ -95% |
| Private Health Care Systems | Workers' Comp | $16.50 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $21.82 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $22.82 | ↓ -93% |
| UPMC Health Plan | Commercial | $28.74 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.42 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.97 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $33.81 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $39.39 | ↓ -88% |
| Cigna | New Business ASO | $60.52 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $68.40 | ↓ -80% |
| Cigna | Commercial | $71.20 | ↓ -79% |
| Health Plan of Upper Ohio Valley | Commercial | $82.24 | ↓ -76% |
| Highmark BCBS of PA | Managed Care | $91.61 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $109.32 | ↓ -68% |
| Coventry/First Health | Commercial | $124.60 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity | $146.41 | ↓ -57% |
| InterGroup | PPO | $147.74 | ↓ -56% |
| Humana | Commercial | $151.30 | ↓ -55% |
| Multiplan | PPO (Includes Workers' Comp) | $151.30 | ↓ -55% |
| Private Health Care Systems | PPO | $151.30 | ↓ -55% |
| Highmark BCBS of PA | UPMC Emergent | $183.21 | ↓ -46% |
Visitor-reported prices
Comments
Ghs protoporphyrins fract at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $147.00 | $14.19 – $208.25 |
| UPMC Muncy | Muncy | $139.80 | $14.19 – $186.40 |
| UPMC Northwest | Seneca | $99.00 | $13.01 – $140.25 |
| UPMC Somerset | Somerset | $72.60 | $14.19 – $90.75 |
| UPMC Wellsboro | Wellsboro | $168.80 | $14.19 – $189.90 |
| UPMC Williamsport | Williamsport | $139.80 | $14.19 – $186.40 |