healthcosts.net
Ins cath ren art 1st bi at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$11,076.00
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.
$18,460.00
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.
$322.01 with UPMC Health Plan vs $15,691.00 with Private Health Care Systems — 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 | $322.01 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $336.65 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $434.13 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $457.00 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $498.89 | ↓ -95% |
| UPMC Health Plan | Commercial | $1,111.97 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,933.38 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $2,216.86 | ↓ -80% |
| Private Health Care Systems | Workers' Comp | $2,577.75 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,304.64 | ↓ -61% |
| Aetna | Medicare | $4,615.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,366.16 | ↓ -52% |
| Highmark BCBS of PA | Managed Care | $5,765.10 | ↓ -48% |
| Cigna | New Business ASO | $6,276.40 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,186.82 | ↓ -35% |
| Cigna | Commercial | $7,384.00 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $8,528.52 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $9,230.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $11,530.20 | ↑ +4% |
| Coventry/First Health | Commercial | $12,922.00 | ↑ +17% |
| InterGroup | PPO | $15,321.80 | ↑ +38% |
| Humana | Commercial | $15,691.00 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $15,691.00 | ↑ +42% |
| Private Health Care Systems | PPO | $15,691.00 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ins cath ren art 1st bi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,866.20 | $322.01 – $4,299.30 |
| UPMC Presbyterian | Pittsburgh | $18,946.80 | $322.01 – $26,841.30 |
| UPMC St. Margaret | Pittsburgh | $12,259.20 | $322.01 – $17,367.20 |
| UPMC Northwest | Seneca | $12,124.80 | $322.01 – $17,176.80 |
| UPMC Somerset | Somerset | $6,300.60 | $322.01 – $7,875.75 |
| UPMC Williamsport | Williamsport | $4,600.80 | $322.01 – $6,134.40 |