healthcosts.net
Igk rearrangeabn clonal pop at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,594.80
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.
$2,658.00
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.
$160.52 with UPMC Health Plan vs $1,321.75 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 | $160.52 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $170.71 | ↓ -89% |
| Health Plan of Upper Ohio Valley | Medicaid | $172.73 | ↓ -89% |
| Health Plan of Upper Ohio Valley | Medicare | $172.73 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $178.83 | ↓ -89% |
| Aetna of PA | Medicare | $181.37 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $181.37 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $186.53 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $186.55 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $186.55 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $186.96 | ↓ -88% |
| Aetna | Medicare | $190.00 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $190.00 | ↓ -88% |
| Private Health Care Systems | Workers' Comp | $198.50 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $225.01 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $241.09 | ↓ -85% |
| UPMC Health Plan | Commercial | $251.36 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $253.79 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $277.05 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $390.75 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $523.32 | ↓ -67% |
| Cigna | New Business ASO | $528.70 | ↓ -67% |
| Cigna | Commercial | $622.00 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $624.53 | ↓ -61% |
| Health Plan of Upper Ohio Valley | Commercial | $718.41 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Indemnity | $836.42 | ↓ -48% |
| Highmark BCBS of PA | UPMC Emergent | $1,046.65 | ↓ -34% |
| Coventry/First Health | Commercial | $1,088.50 | ↓ -32% |
| InterGroup | PPO | $1,290.65 | ↓ -19% |
| Humana | Commercial | $1,321.75 | ↓ -17% |
| Multiplan | PPO (Includes Workers' Comp) | $1,321.75 | ↓ -17% |
| Private Health Care Systems | PPO | $1,321.75 | ↓ -17% |
Visitor-reported prices
Comments
Igk rearrangeabn clonal pop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $975.00 | $143.99 – $1,462.50 |
| UPMC Presbyterian | Pittsburgh | $1,463.40 | $162.57 – $2,073.15 |
| UPMC St. Margaret | Pittsburgh | $975.00 | $149.14 – $1,381.25 |
| UPMC Muncy | Muncy | $757.20 | $170.71 – $1,009.60 |
| UPMC Northwest | Seneca | $933.00 | $156.65 – $1,303.05 |
| UPMC Wellsboro | Wellsboro | $961.60 | $162.57 – $1,081.80 |
| UPMC Williamsport | Williamsport | $930.00 | $170.71 – $1,240.00 |