healthcosts.net
Mayo iodine at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$711.60
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.
?
What you pay up front if you don't use insurance.
$1,186.00
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.
$22.41 with UPMC Health Plan vs $952.00 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 Health Plan | Managed Medicare | $22.41 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $23.82 | ↓ -97% |
| Health Plan of Upper Ohio Valley | Medicaid | $24.11 | ↓ -97% |
| Health Plan of Upper Ohio Valley | Medicare | $24.11 | ↓ -97% |
| Aetna of PA | Medicare | $25.32 | ↓ -96% |
| United Healthcare | Unison Advantage Non Special Needs | $25.32 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $26.04 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $26.04 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $26.04 | ↓ -96% |
| Aetna | Medicare | $26.52 | ↓ -96% |
| United Healthcare | Unison Advantage Special Needs | $26.52 | ↓ -96% |
| Private Health Care Systems | Workers' Comp | $27.70 | ↓ -96% |
| UPMC Health Plan | Commercial | $35.88 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.39 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $84.04 | ↓ -88% |
| Highmark BCBS of PA | Managed Care | $112.56 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $134.32 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Indemnity | $179.90 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $225.11 | ↓ -68% |
| Cigna | New Business ASO | $380.80 | ↓ -46% |
| Cigna | Commercial | $448.00 | ↓ -37% |
| Health Plan of Upper Ohio Valley | Commercial | $517.44 | ↓ -27% |
| PA Health & Wellness | PA Medicaid HMO | $616.00 | ↓ -13% |
| Coventry/First Health | Commercial | $784.00 | ↑ +10% |
| InterGroup | PPO | $929.60 | ↑ +31% |
| Humana | Commercial | $952.00 | ↑ +34% |
| Multiplan | PPO (Includes Workers' Comp) | $952.00 | ↑ +34% |
| Private Health Care Systems | PPO | $952.00 | ↑ +34% |
Visitor-reported prices
Comments
Mayo iodine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $200.40 | $20.10 – $300.60 |
| UPMC Presbyterian | Pittsburgh | $325.20 | $17.65 – $460.70 |
| UPMC St. Margaret | Pittsburgh | $187.20 | $20.82 – $265.20 |
| UPMC Muncy | Muncy | $202.20 | $18.83 – $269.60 |
| UPMC Northwest | Seneca | $163.80 | $21.87 – $232.05 |
| UPMC Wellsboro | Wellsboro | $244.80 | $18.83 – $275.40 |
| UPMC Williamsport | Williamsport | $202.20 | $18.83 – $256.80 |