Left compres band >=3" <5"/yd at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$3.60
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.
$6.00
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.
$1.50 with Aetna vs $24.15 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 | $1.50 | ↓ -58% |
| Cigna | New Business ASO | $2.04 | ↓ -43% |
| Cigna | Commercial | $2.40 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $2.77 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $3.00 | ↓ -17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3.28 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $3.30 | ↓ -8% |
| UPMC Work Partners | Workers Comp | $3.33 | ↓ -8% |
| Private Health Care Systems | Workers' Comp | $3.87 | ↑ +8% |
| Coventry/First Health | Commercial | $4.20 | ↑ +17% |
| InterGroup | PPO | $4.98 | ↑ +38% |
| Multiplan | PPO (Includes Workers' Comp) | $5.10 | ↑ +42% |
| Humana | Commercial | $5.10 | ↑ +42% |
| Private Health Care Systems | PPO | $5.10 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9.02 | ↑ +151% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9.11 | ↑ +153% |
| Highmark BCBS of PA | Managed Care | $12.08 | ↑ +236% |
| Highmark BCBS of PA | Commercial - Indemnity | $12.21 | ↑ +239% |
| UPMC Health Plan | Commercial | $14.22 | ↑ +295% |
| Highmark BCBS of PA | UPMC Emergent | $24.15 | ↑ +571% |
Visitor-reported prices
Comments
Left compres band >=3" <5"/yd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $3.60 | $1.65 – $9.80 |
| UPMC Presbyterian | Pittsburgh | $5.40 | $1.68 – $15.84 |
| UPMC St. Margaret | Pittsburgh | $3.60 | $3.28 – $12.03 |
| UPMC Altoona | Altoona | $3.00 | $2.50 – $9.80 |
| UPMC Bedford | Everett | $3.60 | $1.50 – $9.80 |
| UPMC East | Monroeville | $3.60 | $1.50 – $9.80 |
| UPMC Horizon-Greenville | Greenville | $3.60 | $3.33 – $9.80 |
| UPMC Jameson | New Castle | $3.60 | $1.50 – $9.80 |