healthcosts.net
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$21,211.80
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.
?
What you pay up front if you don't use insurance.
$35,353.00
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.
$814.86 with UPMC Work Partners vs $30,050.05 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 Work Partners | Workers Comp | $814.86 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $831.61 | ↓ -96% |
| Private Health Care Systems | Workers' Comp | $947.51 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,851.56 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,308.16 | ↓ -89% |
| Highmark BCBS of PA | Managed Care | $2,479.76 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,091.29 | ↓ -85% |
| Highmark BCBS of PA | UPMC Emergent | $4,959.52 | ↓ -77% |
| UPMC Health Plan | Commercial | $8,719.28 | ↓ -59% |
| Aetna | Medicare | $8,838.25 | ↓ -58% |
| Cigna | New Business ASO | $12,020.02 | ↓ -43% |
| Cigna | Commercial | $14,141.20 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $16,333.09 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $17,676.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $19,444.15 | ↓ -8% |
| Coventry/First Health | Commercial | $24,747.10 | ↑ +17% |
| InterGroup | PPO | $29,342.99 | ↑ +38% |
| Humana | Commercial | $30,050.05 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $30,050.05 | ↑ +42% |
| Private Health Care Systems | PPO | $30,050.05 | ↑ +42% |
Visitor-reported prices
Comments
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $28,245.60 | $823.76 – $42,368.40 |
| UPMC Presbyterian | Pittsburgh | $34,056.00 | $403.15 – $48,246.00 |
| UPMC Somerset | Somerset | $5,751.00 | $386.35 – $11,554.28 |
| UPMC Williamsport | Williamsport | $5,125.80 | $430.03 – $6,834.40 |