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Ins/rpl ldless pm right vent w img & eval at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$17,670.00
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.
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What you pay up front if you don't use insurance.
$29,450.00
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.
$310.52 with Highmark BCBS of PA vs $25,032.50 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $310.52 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $610.14 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $691.38 | ↓ -96% |
| Private Health Care Systems | Workers' Comp | $709.47 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $861.87 | ↓ -95% |
| Highmark BCBS of PA | Managed Care | $925.94 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,154.29 | ↓ -93% |
| Highmark BCBS of PA | UPMC Emergent | $1,851.89 | ↓ -90% |
| Cigna | New Business ASO | $10,013.00 | ↓ -43% |
| Cigna | Commercial | $11,780.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $12,439.68 | ↓ -30% |
| Health Plan of Upper Ohio Valley | Commercial | $13,605.90 | ↓ -23% |
| PA Health & Wellness | PA Medicaid HMO | $16,197.50 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $16,896.59 | ↓ -4% |
| Health Plan of Upper Ohio Valley | Medicaid | $18,182.06 | ↑ +3% |
| Health Plan of Upper Ohio Valley | Medicare | $18,182.06 | ↑ +3% |
| Aetna of PA | Medicare | $19,091.16 | ↑ +8% |
| United Healthcare | Unison Advantage Non Special Needs | $19,091.16 | ↑ +8% |
| Highmark Wholecare (prev Gateway) | Medicare | $19,634.81 | ↑ +11% |
| AmeriHealth Caritas | Medicare | $19,636.62 | ↑ +11% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19,636.62 | ↑ +11% |
| Aetna | Medicare | $20,000.27 | ↑ +13% |
| United Healthcare | Unison Advantage Special Needs | $20,000.27 | ↑ +13% |
| Coventry/First Health | Commercial | $20,615.00 | ↑ +17% |
| InterGroup | PPO | $24,443.50 | ↑ +38% |
| Humana | Commercial | $25,032.50 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $25,032.50 | ↑ +42% |
| Private Health Care Systems | PPO | $25,032.50 | ↑ +42% |
Visitor-reported prices
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Ins/rpl ldless pm right vent w img & eval at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $16,670.40 | $307.59 – $25,005.60 |
| UPMC Presbyterian | Pittsburgh | $19,179.60 | $310.52 – $27,171.10 |
| UPMC Somerset | Somerset | $24,161.40 | $304.48 – $30,201.75 |
| UPMC Williamsport | Williamsport | $14,857.20 | $610.14 – $19,809.60 |