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Mayo analysis gene smn1 dosage/deletion at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,261.80
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.
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What you pay up front if you don't use insurance.
$2,103.00
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.
$84.46 with Highmark BCBS of PA vs $487.90 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 | $84.46 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $120.56 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $126.04 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $127.31 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $135.40 | ↓ -89% |
| Health Plan of Upper Ohio Valley | Medicaid | $137.00 | ↓ -89% |
| Health Plan of Upper Ohio Valley | Medicare | $137.00 | ↓ -89% |
| Aetna of PA | Medicare | $143.85 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $143.85 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $146.67 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $147.95 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $147.96 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $147.96 | ↓ -88% |
| Aetna | Medicare | $150.70 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $150.70 | ↓ -88% |
| Private Health Care Systems | Workers' Comp | $157.44 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $162.54 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $171.10 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $186.78 | ↓ -85% |
| Cigna | New Business ASO | $195.16 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $196.44 | ↓ -84% |
| Cigna | Commercial | $229.60 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $234.43 | ↓ -81% |
| Health Plan of Upper Ohio Valley | Commercial | $265.19 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity | $313.96 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $392.87 | ↓ -69% |
| Coventry/First Health | Commercial | $401.80 | ↓ -68% |
| UPMC Health Plan | Commercial | $469.50 | ↓ -63% |
| InterGroup | PPO | $476.42 | ↓ -62% |
| Humana | Commercial | $487.90 | ↓ -61% |
| Multiplan | PPO (Includes Workers' Comp) | $487.90 | ↓ -61% |
| Private Health Care Systems | PPO | $487.90 | ↓ -61% |
Visitor-reported prices
Comments
Mayo analysis gene smn1 dosage/deletion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $730.20 | $83.66 – $556.20 |
| UPMC Presbyterian | Pittsburgh | $2,547.60 | $84.46 – $525.30 |
| UPMC St. Margaret | Pittsburgh | $2,547.60 | $84.46 – $1,034.45 |
| UPMC Muncy | Muncy | $1,135.80 | $120.56 – $918.40 |
| UPMC Northwest | Seneca | $2,547.60 | $120.56 – $525.30 |
| UPMC Somerset | Somerset | $792.60 | $82.82 – $990.75 |
| UPMC Wellsboro | Wellsboro | $2,514.40 | $109.60 – $1,033.20 |
| UPMC Williamsport | Williamsport | $1,192.80 | $120.56 – $964.00 |