Parathyrd planar w/spect&ct at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,600.80
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.
?
What you pay up front if you don't use insurance.
$2,668.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$290.95 with Highmark BCBS of PA vs $2,267.80 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $290.95 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $351.32 | ↓ -78% |
| United Healthcare Community Plan for Families | Unison Kids | $367.29 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $473.64 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $476.90 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $498.58 | ↓ -69% |
| Health Plan of Upper Ohio Valley | Medicaid | $513.18 | ↓ -68% |
| Health Plan of Upper Ohio Valley | Medicare | $513.18 | ↓ -68% |
| United Healthcare | Unison Advantage Non Special Needs | $538.84 | ↓ -66% |
| Aetna of PA | Medicare | $538.84 | ↓ -66% |
| PA Health & Wellness | PA Medicaid HMO | $544.29 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $554.18 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $554.23 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $554.23 | ↓ -65% |
| Aetna | Medicare | $564.50 | ↓ -65% |
| United Healthcare | Unison Advantage Special Needs | $564.50 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $647.80 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $807.55 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $867.58 | ↓ -46% |
| Cigna | New Business ASO | $907.12 | ↓ -43% |
| UPMC Health Plan | Commercial | $1,019.66 | ↓ -36% |
| Cigna | Commercial | $1,067.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,081.54 | ↓ -32% |
| Health Plan of Upper Ohio Valley | Commercial | $1,232.62 | ↓ -23% |
| Highmark BCBS of PA | UPMC Emergent | $1,735.16 | ↑ +8% |
| Coventry/First Health | Commercial | $1,867.60 | ↑ +17% |
| InterGroup | PPO | $2,214.44 | ↑ +38% |
| Humana | Commercial | $2,267.80 | ↑ +42% |
| Private Health Care Systems | PPO | $2,267.80 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $2,267.80 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Parathyrd planar w/spect&ct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $2,145.00 | $290.95 – $564.50 |
| UPMC Altoona | Altoona | $728.40 | $258.15 – $971.20 |
| UPMC Carlisle | Carlisle | $1,574.40 | $338.18 – $2,230.40 |
| UPMC Community Osteopathic | Harrisburg | $1,574.40 | $338.18 – $2,230.40 |
| UPMC Hanover | Hanover | $1,574.40 | $338.18 – $822.74 |
| UPMC Lititz | Lititz | $1,574.40 | $338.18 – $827.18 |
| UPMC Memorial | York | $1,574.40 | $234.90 – $825.84 |
| UPMC Muncy | Muncy | $2,233.80 | $330.43 – $544.29 |