healthcosts.net
Parathyroid planar imaging at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,125.60
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.
?
What you pay up front if you don't use insurance.
$1,876.00
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.
$98.19 with UPMC Health Plan vs $1,594.60 with Humana — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $98.19 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $102.65 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $110.36 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $132.37 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $139.34 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $152.12 | ↓ -86% |
| UPMC Health Plan | Commercial | $172.67 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $237.70 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $245.71 | ↓ -78% |
| Private Health Care Systems | Workers' Comp | $276.40 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $306.30 | ↓ -73% |
| Highmark BCBS of PA | Managed Care | $329.07 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $356.01 | ↓ -68% |
| Health Plan of Upper Ohio Valley | Medicare | $383.10 | ↓ -66% |
| Health Plan of Upper Ohio Valley | Medicaid | $383.10 | ↓ -66% |
| United Healthcare | Unison Advantage Non Special Needs | $402.25 | ↓ -64% |
| Aetna of PA | Medicare | $402.25 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Indemnity | $410.22 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $413.71 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $413.75 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $413.75 | ↓ -63% |
| Aetna | Medicare | $421.41 | ↓ -63% |
| United Healthcare | Unison Advantage Special Needs | $421.41 | ↓ -63% |
| Cigna | New Business ASO | $637.84 | ↓ -43% |
| Highmark BCBS of PA | UPMC Emergent | $658.14 | ↓ -42% |
| Cigna | Commercial | $750.40 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $866.71 | ↓ -23% |
| Coventry/First Health | Commercial | $1,313.20 | ↑ +17% |
| InterGroup | PPO | $1,557.08 | ↑ +38% |
| Private Health Care Systems | PPO | $1,594.60 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $1,594.60 | ↑ +42% |
| Humana | Commercial | $1,594.60 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Parathyroid planar imaging at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $5,323.20 | $75.00 – $7,541.20 |
| UPMC Muncy | Muncy | $1,859.40 | $80.00 – $2,479.20 |
| UPMC Northwest | Seneca | $944.40 | $98.19 – $1,337.90 |
| UPMC Somerset | Somerset | $1,228.80 | $71.88 – $1,536.00 |
| UPMC Wellsboro | Wellsboro | $2,248.00 | $80.00 – $2,529.00 |
| UPMC Williamsport | Williamsport | $1,859.40 | $80.00 – $2,479.20 |