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Insitu hybridization manual at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$785.40
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.
$1,309.00
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.
$89.47 with UPMC Health Plan vs $990.25 with Humana — 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 | Commercial | $89.47 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $136.33 | ↓ -83% |
| United Healthcare Community Plan for Families | Unison Kids | $142.53 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $183.80 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $192.34 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $193.48 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $211.22 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $318.70 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $326.01 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $334.02 | ↓ -57% |
| Health Plan of Upper Ohio Valley | Medicare | $342.95 | ↓ -56% |
| Health Plan of Upper Ohio Valley | Medicaid | $342.95 | ↓ -56% |
| United Healthcare | Unison Advantage Non Special Needs | $360.10 | ↓ -54% |
| Aetna of PA | Medicare | $360.10 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicare | $370.35 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $370.39 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.39 | ↓ -53% |
| Aetna | Medicare | $377.25 | ↓ -52% |
| United Healthcare | Unison Advantage Special Needs | $377.25 | ↓ -52% |
| Private Health Care Systems | Workers' Comp | $379.08 | ↓ -52% |
| Cigna | New Business ASO | $396.10 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $447.34 | ↓ -43% |
| Cigna | Commercial | $466.00 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $533.85 | ↓ -32% |
| Health Plan of Upper Ohio Valley | Commercial | $538.23 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Indemnity | $714.98 | ↓ -9% |
| Coventry/First Health | Commercial | $815.50 | ↑ +4% |
| Highmark BCBS of PA | UPMC Emergent | $894.68 | ↑ +14% |
| InterGroup | PPO | $966.95 | ↑ +23% |
| Private Health Care Systems | PPO | $990.25 | ↑ +26% |
| Multiplan | PPO (Includes Workers' Comp) | $990.25 | ↑ +26% |
| Humana | Commercial | $990.25 | ↑ +26% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insitu hybridization manual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $720.00 | $88.95 – $1,080.00 |
| UPMC Presbyterian | Pittsburgh | $591.00 | $76.03 – $837.25 |
| UPMC St. Margaret | Pittsburgh | $615.00 | $89.69 – $871.25 |
| UPMC Muncy | Muncy | $512.40 | $81.10 – $683.20 |
| UPMC Northwest | Seneca | $646.80 | $89.51 – $916.30 |
| UPMC Somerset | Somerset | $664.80 | $72.86 – $831.00 |
| UPMC Wellsboro | Wellsboro | $412.80 | $81.10 – $619.20 |
| UPMC Williamsport | Williamsport | $512.40 | $81.10 – $683.20 |