healthcosts.net
Hla i & ii typing hr at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$2,786.40
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.
$4,644.00
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.
$321.14 with UPMC Health Plan vs $3,475.65 with Private Health Care Systems — 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 | $321.14 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $341.53 | ↓ -88% |
| Health Plan of Upper Ohio Valley | Medicaid | $345.57 | ↓ -88% |
| Health Plan of Upper Ohio Valley | Medicare | $345.57 | ↓ -88% |
| Aetna of PA | Medicare | $362.85 | ↓ -87% |
| United Healthcare | Unison Advantage Non Special Needs | $362.85 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $373.18 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $373.22 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $373.22 | ↓ -87% |
| Aetna | Medicare | $380.13 | ↓ -86% |
| United Healthcare | Unison Advantage Special Needs | $380.13 | ↓ -86% |
| Private Health Care Systems | Workers' Comp | $397.13 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $414.87 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $433.72 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $559.31 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $588.77 | ↓ -79% |
| PA Health & Wellness | PA Medicaid HMO | $642.74 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $642.91 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,116.46 | ↓ -60% |
| Cigna | New Business ASO | $1,390.26 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $1,495.25 | ↓ -46% |
| Cigna | Commercial | $1,635.60 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,784.42 | ↓ -36% |
| Health Plan of Upper Ohio Valley | Commercial | $1,889.12 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,159.38 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,389.84 | ↓ -14% |
| Coventry/First Health | Commercial | $2,862.30 | ↑ +3% |
| Highmark BCBS of PA | UPMC Emergent | $2,990.51 | ↑ +7% |
| InterGroup | PPO | $3,393.87 | ↑ +22% |
| Humana | Commercial | $3,475.65 | ↑ +25% |
| Multiplan | PPO (Includes Workers' Comp) | $3,475.65 | ↑ +25% |
| Private Health Care Systems | PPO | $3,475.65 | ↑ +25% |
Visitor-reported prices
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Hla i & ii typing hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,453.40 | $288.07 – $3,680.10 |
| UPMC Presbyterian | Pittsburgh | $4,179.00 | $341.53 – $3,475.65 |
| UPMC Northwest | Seneca | $2,453.40 | $313.40 – $3,475.65 |
| UPMC Somerset | Somerset | $749.40 | $341.53 – $936.75 |
| UPMC Williamsport | Williamsport | $2,407.80 | $341.53 – $3,210.40 |