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Microdissection manual at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,179.00
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.
$1,965.00
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.
$66.22 with UPMC Health Plan vs $1,267.22 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $66.22 | ↓ -94% |
| Aetna | Medicare | $228.00 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $272.43 | ↓ -77% |
| Cigna | New Business ASO | $310.08 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $321.35 | ↓ -73% |
| Cigna | Commercial | $364.80 | ↓ -69% |
| Private Health Care Systems | Workers' Comp | $373.66 | ↓ -68% |
| Health Plan of Upper Ohio Valley | Commercial | $421.34 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $456.00 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $473.10 | ↓ -60% |
| PA Health & Wellness | PA Medicaid HMO | $501.60 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $633.61 | ↓ -46% |
| Coventry/First Health | Commercial | $638.40 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $756.14 | ↓ -36% |
| InterGroup | PPO | $756.96 | ↓ -36% |
| Humana | Commercial | $775.20 | ↓ -34% |
| Multiplan | PPO (Includes Workers' Comp) | $775.20 | ↓ -34% |
| Private Health Care Systems | PPO | $775.20 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,012.69 | ↓ -14% |
| Highmark BCBS of PA | UPMC Emergent | $1,267.22 | ↑ +7% |
Visitor-reported prices
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Microdissection manual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $715.80 | $65.83 – $1,073.70 |
| UPMC Presbyterian | Pittsburgh | $505.80 | $69.87 – $716.55 |
| UPMC St. Margaret | Pittsburgh | $538.20 | $66.38 – $762.45 |
| UPMC Northwest | Seneca | $604.20 | $66.25 – $855.95 |
| UPMC Somerset | Somerset | $284.40 | $126.71 – $355.50 |
| UPMC Wellsboro | Wellsboro | $1,058.40 | $141.03 – $1,587.60 |
| UPMC Williamsport | Williamsport | $1,058.40 | $141.03 – $1,411.20 |