Pet CT whole body initial at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$9,824.40
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.
$16,374.00
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.
$808.44 with UPMC Health Plan vs $24,743.30 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $808.44 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $1,292.28 | ↓ -87% |
| Health Plan of Upper Ohio Valley | Medicare | $1,390.59 | ↓ -86% |
| Health Plan of Upper Ohio Valley | Medicaid | $1,390.59 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $1,440.58 | ↓ -85% |
| Aetna of PA | Medicare | $1,460.12 | ↓ -85% |
| United Healthcare | Unison Advantage Non Special Needs | $1,460.12 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,501.70 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $1,501.84 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,501.84 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $1,506.06 | ↓ -85% |
| Aetna | Medicare | $1,529.65 | ↓ -84% |
| United Healthcare | Unison Advantage Special Needs | $1,529.65 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,942.17 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,044.45 | ↓ -79% |
| PA Health & Wellness | PA Medicaid HMO | $2,231.85 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,148.94 | ↓ -58% |
| Cigna | New Business ASO | $5,567.16 | ↓ -43% |
| Cigna | Commercial | $6,549.60 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $7,564.79 | ↓ -23% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9,237.56 | ↓ -6% |
| Coventry/First Health | Commercial | $11,461.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $11,515.55 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $12,371.65 | ↑ +26% |
| InterGroup | PPO | $13,590.42 | ↑ +38% |
| Multiplan | PPO (Includes Workers' Comp) | $13,917.90 | ↑ +42% |
| Humana | Commercial | $13,917.90 | ↑ +42% |
| Private Health Care Systems | PPO | $13,917.90 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $15,422.61 | ↑ +57% |
| Highmark BCBS of PA | UPMC Emergent | $24,743.30 | ↑ +152% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
Comments
Pet CT whole body initial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $12,784.80 | $847.98 – $4,148.94 |
| UPMC Presbyterian | Pittsburgh | $15,426.60 | $1,440.58 – $4,148.94 |
| UPMC Altoona | Altoona | $6,894.60 | $1,207.25 – $9,192.80 |
| UPMC Carlisle | Carlisle | $5,639.40 | $800.00 – $7,989.15 |
| UPMC Cole | Coudersport | $8,079.60 | $1,375.10 – $10,772.80 |
| UPMC Community Osteopathic | Harrisburg | $5,639.40 | $1,581.50 – $18,069.18 |
| UPMC Northwest | Seneca | $12,895.20 | $808.81 – $1,506.06 |
| UPMC Hanover | Hanover | $5,639.40 | $800.00 – $7,584.17 |