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Lead tachy durata sj4 58cm at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$13,024.20
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.
$21,707.00
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.
$1,073.75 with Aetna vs $28,900.43 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | Medicare | $1,073.75 | ↓ -92% |
| Cigna | New Business ASO | $1,460.30 | ↓ -89% |
| Cigna | Commercial | $1,718.00 | ↓ -87% |
| Health Plan of Upper Ohio Valley | Commercial | $1,984.29 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,147.50 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $2,362.25 | ↓ -82% |
| Coventry/First Health | Commercial | $3,006.50 | ↓ -77% |
| InterGroup | PPO | $3,564.85 | ↓ -73% |
| Humana | Commercial | $3,650.75 | ↓ -72% |
| Multiplan | PPO (Includes Workers' Comp) | $3,650.75 | ↓ -72% |
| Private Health Care Systems | PPO | $3,650.75 | ↓ -72% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,929.20 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4,775.54 | ↓ -63% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7,343.48 | ↓ -44% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10,789.24 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,905.66 | ↓ -16% |
| Highmark BCBS of PA | Managed Care | $14,450.21 | ↑ +11% |
| Highmark BCBS of PA | Commercial - Indemnity | $14,605.79 | ↑ +12% |
| UPMC Health Plan | Commercial | $24,493.72 | ↑ +88% |
| Highmark BCBS of PA | UPMC Emergent | $28,900.43 | ↑ +122% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
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Lead tachy durata sj4 58cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $32,130.60 | $0.12 – $27,290.54 |
| UPMC St. Margaret | Pittsburgh | $7,220.40 | $2,406.80 – $20,711.90 |