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Mopath procedure level 8 at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$3,400.80
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.
$5,668.00
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.
$786.44 with UPMC Health Plan vs $8,911.64 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 | Managed Medicare | $786.44 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $836.39 | ↓ -75% |
| UPMC Health Plan | Commercial | $838.28 | ↓ -75% |
| Health Plan of Upper Ohio Valley | Medicaid | $846.27 | ↓ -75% |
| Health Plan of Upper Ohio Valley | Medicare | $846.27 | ↓ -75% |
| Aetna of PA | Medicare | $888.58 | ↓ -74% |
| United Healthcare | Unison Advantage Non Special Needs | $888.58 | ↓ -74% |
| Cigna | New Business ASO | $892.84 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $913.89 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $913.97 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $913.97 | ↓ -73% |
| Aetna | Medicare | $930.90 | ↓ -73% |
| United Healthcare | Unison Advantage Special Needs | $930.90 | ↓ -73% |
| Private Health Care Systems | Workers' Comp | $972.55 | ↓ -71% |
| Cigna | Commercial | $1,050.40 | ↓ -69% |
| Health Plan of Upper Ohio Valley | Commercial | $1,213.21 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $1,444.30 | ↓ -58% |
| Coventry/First Health | Commercial | $1,838.20 | ↓ -46% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,915.85 | ↓ -44% |
| InterGroup | PPO | $2,179.58 | ↓ -36% |
| Humana | Commercial | $2,232.10 | ↓ -34% |
| Multiplan | PPO (Includes Workers' Comp) | $2,232.10 | ↓ -34% |
| Private Health Care Systems | PPO | $2,232.10 | ↓ -34% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,327.03 | ↓ -2% |
| Highmark BCBS of PA | Managed Care | $4,455.82 | ↑ +31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,317.52 | ↑ +56% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,121.67 | ↑ +109% |
| Highmark BCBS of PA | UPMC Emergent | $8,911.64 | ↑ +162% |
Visitor-reported prices
Comments
Mopath procedure level 8 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,687.80 | $280.95 – $1,897.78 |
| UPMC Presbyterian | Pittsburgh | $1,687.80 | $60.48 – $1,915.85 |
| UPMC St. Margaret | Pittsburgh | $1,687.80 | $253.76 – $1,915.85 |
| UPMC Muncy | Muncy | $1,792.80 | $448.20 – $2,390.40 |
| UPMC Northwest | Seneca | $1,687.80 | $402.80 – $913.97 |
| UPMC Wellsboro | Wellsboro | $2,276.80 | $458.46 – $2,292.30 |
| UPMC Williamsport | Williamsport | $1,672.20 | $377.24 – $913.89 |