healthcosts.net
Nushield 1 square cm at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$2,889.00
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.
$4,815.00
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.
$57.23 with Highmark BCBS of PA vs $3,424.78 with UPMC Health Plan — 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 | $57.23 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $117.92 | ↓ -96% |
| Aetna | Medicare | $134.00 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $157.16 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $158.85 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $176.88 | ↓ -94% |
| Cigna | New Business ASO | $182.24 | ↓ -94% |
| Highmark BCBS of PA | Managed Care | $210.48 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Indemnity | $212.75 | ↓ -93% |
| Cigna | Commercial | $214.40 | ↓ -93% |
| Health Plan of Upper Ohio Valley | Commercial | $224.05 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $268.00 | ↓ -91% |
| Coventry/First Health | Commercial | $375.20 | ↓ -87% |
| Highmark BCBS of PA | UPMC Emergent | $420.97 | ↓ -85% |
| InterGroup | PPO | $444.88 | ↓ -85% |
| Humana | Commercial | $455.60 | ↓ -84% |
| Multiplan | PPO (Includes Workers' Comp) | $455.60 | ↓ -84% |
| Private Health Care Systems | PPO | $455.60 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,784.38 | ↓ -4% |
| UPMC Health Plan | Commercial | $3,424.78 | ↑ +19% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
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Nushield 1 square cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,269.60 | $57.23 – $3,424.78 |
| UPMC Wellsboro | Wellsboro | $3,704.80 | $235.08 – $1,175.40 |
| UPMC Williamsport | Williamsport | $312.00 | $104.00 – $468.00 |