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In-111 pentetreotide at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$11,244.60
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.
$18,741.00
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.
$1,779.25 with UPMC Health Plan vs $39,336.27 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 | $1,779.25 | ↓ -84% |
| Health Plan of Upper Ohio Valley | Medicaid | $1,914.61 | ↓ -83% |
| Health Plan of Upper Ohio Valley | Medicare | $1,914.61 | ↓ -83% |
| Aetna of PA | Medicare | $2,010.34 | ↓ -82% |
| United Healthcare | Unison Advantage Non Special Needs | $2,010.34 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,067.59 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $2,067.78 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,067.78 | ↓ -82% |
| Aetna | Medicare | $2,106.07 | ↓ -81% |
| United Healthcare | Unison Advantage Special Needs | $2,106.07 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5,348.02 | ↓ -52% |
| Cigna | New Business ASO | $6,371.94 | ↓ -43% |
| UPMC Health Plan | Commercial | $6,808.78 | ↓ -39% |
| Cigna | Commercial | $7,496.40 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $8,658.34 | ↓ -23% |
| PA Health & Wellness | PA Medicaid HMO | $10,307.55 | ↓ -8% |
| Coventry/First Health | Commercial | $13,118.70 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $14,685.19 | ↑ +31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $14,843.66 | ↑ +32% |
| InterGroup | PPO | $15,555.03 | ↑ +38% |
| Humana | Commercial | $15,929.85 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $15,929.85 | ↑ +42% |
| Private Health Care Systems | PPO | $15,929.85 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $19,668.13 | ↑ +75% |
| Highmark BCBS of PA | Commercial - Indemnity | $19,879.89 | ↑ +77% |
| Highmark BCBS of PA | UPMC Emergent | $39,336.27 | ↑ +250% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
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In-111 pentetreotide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $3,477.00 | $869.25 – $5,215.50 |
| UPMC Somerset | Somerset | $18,255.00 | $1,895.46 – $22,818.75 |
| UPMC Wellsboro | Wellsboro | $4,204.80 | $946.08 – $4,730.40 |
| UPMC Williamsport | Williamsport | $3,477.00 | $1,933.37 – $5,215.50 |