Off/op consltj new/est sf 20 at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$210.00
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.
$350.00
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.
$44.36 with Highmark BCBS of PA vs $297.50 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 | $44.36 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $84.61 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $85.52 | ↓ -59% |
| Aetna | Medicare | $87.50 | ↓ -58% |
| UPMC Health Plan | Commercial | $97.46 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $113.32 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Indemnity | $114.54 | ↓ -45% |
| Cigna | New Business ASO | $119.00 | ↓ -43% |
| Cigna | Commercial | $140.00 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $161.70 | ↓ -23% |
| UPMC Work Partners | Workers Comp | $172.70 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $175.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $192.50 | ↓ -8% |
| Private Health Care Systems | Workers' Comp | $200.81 | ↓ -4% |
| Highmark BCBS of PA | UPMC Emergent | $226.63 | ↑ +8% |
| Coventry/First Health | Commercial | $245.00 | ↑ +17% |
| InterGroup | PPO | $290.50 | ↑ +38% |
| Multiplan | PPO (Includes Workers' Comp) | $297.50 | ↑ +42% |
| Private Health Care Systems | PPO | $297.50 | ↑ +42% |
| Humana | Commercial | $297.50 | ↑ +42% |
Visitor-reported prices
Comments
Off/op consltj new/est sf 20 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $318.00 | $44.36 – $172.70 |
| UPMC Western Psychiatric | Pittsburgh | $320.40 | $43.47 – $43.47 |
| UPMC Cole | Coudersport | $262.80 | $66.25 – $191.20 |
| UPMC Community Osteopathic | Harrisburg | $369.60 | $57.51 – $523.60 |
| UPMC Somerset | Somerset | $369.60 | $16.93 – $165.35 |
| UPMC Wellsboro | Wellsboro | $120.00 | $56.19 – $165.35 |