healthcosts.net
Inj dx for sinogram at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$393.00
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.
?
What you pay up front if you don't use insurance.
$655.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$38.50 with UPMC Health Plan vs $783.37 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $38.50 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $40.25 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.91 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.64 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $59.65 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $96.54 | ↓ -75% |
| Private Health Care Systems | Workers' Comp | $112.26 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $131.35 | ↓ -67% |
| Aetna | Medicare | $163.75 | ↓ -58% |
| Cigna | New Business ASO | $222.70 | ↓ -43% |
| UPMC Health Plan | Commercial | $232.96 | ↓ -41% |
| Cigna | Commercial | $262.00 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $292.46 | ↓ -26% |
| Health Plan of Upper Ohio Valley | Commercial | $302.61 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $327.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $364.58 | ↓ -7% |
| Highmark BCBS of PA | Managed Care | $391.69 | ↓ -0% |
| Coventry/First Health | Commercial | $458.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $488.28 | ↑ +24% |
| InterGroup | PPO | $543.65 | ↑ +38% |
| Humana | Commercial | $556.75 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $556.75 | ↑ +42% |
| Private Health Care Systems | PPO | $556.75 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $783.37 | ↑ +99% |
Visitor-reported prices
Comments
Inj dx for sinogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $594.60 | $38.50 – $891.90 |
| UPMC Presbyterian | Pittsburgh | $942.00 | $38.50 – $1,334.50 |
| UPMC Somerset | Somerset | $2,304.60 | $38.50 – $2,880.75 |
| UPMC Wellsboro | Wellsboro | $2,348.80 | $38.50 – $2,642.40 |
| UPMC Williamsport | Williamsport | $1,942.20 | $38.50 – $2,589.60 |