healthcosts.net
MRI breast without cont bi at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$3,801.60
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.
$6,336.00
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.
$102.55 with Highmark BCBS of PA vs $5,385.60 with Humana — 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 | $102.55 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $214.16 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $217.58 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $227.47 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $228.33 | ↓ -94% |
| Health Plan of Upper Ohio Valley | Medicare | $230.45 | ↓ -94% |
| Health Plan of Upper Ohio Valley | Medicaid | $230.45 | ↓ -94% |
| United Healthcare | Unison Advantage Non Special Needs | $241.97 | ↓ -94% |
| Aetna of PA | Medicare | $241.97 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.89 | ↓ -93% |
| Aetna | Medicare | $253.50 | ↓ -93% |
| United Healthcare | Unison Advantage Special Needs | $253.50 | ↓ -93% |
| Premier Comp Solutions | Worker's Comp | $278.62 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $284.63 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $293.34 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $299.52 | ↓ -92% |
| Highmark BCBS of PA | Managed Care | $305.79 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $308.79 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $337.09 | ↓ -91% |
| Private Health Care Systems | Workers' Comp | $348.28 | ↓ -91% |
| UPMC Health Plan | Commercial | $362.32 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity | $381.21 | ↓ -90% |
| Highmark BCBS of PA | UPMC Emergent | $611.59 | ↓ -84% |
| Cigna | New Business ASO | $2,154.24 | ↓ -43% |
| Cigna | Commercial | $2,534.40 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $2,927.23 | ↓ -23% |
| Coventry/First Health | Commercial | $4,435.20 | ↑ +17% |
| InterGroup | PPO | $5,258.88 | ↑ +38% |
| Private Health Care Systems | PPO | $5,385.60 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $5,385.60 | ↑ +42% |
| Humana | Commercial | $5,385.60 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI breast without cont bi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $8,505.00 | $102.55 – $12,048.75 |
| UPMC Muncy | Muncy | $3,482.40 | $170.33 – $4,643.20 |
| UPMC Northwest | Seneca | $2,913.60 | $209.00 – $4,127.60 |
| UPMC Somerset | Somerset | $480.60 | $100.56 – $600.75 |
| UPMC Williamsport | Williamsport | $3,482.40 | $170.33 – $4,643.20 |