Pet fdg brain metoblic eval sb at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$13,297.20
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.
$22,162.00
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.
$751.40 with UPMC Health Plan vs $18,837.70 with Multiplan — 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 | Managed Medicaid | $751.40 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $785.55 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,013.02 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,066.37 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $1,164.12 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $1,292.28 | ↓ -90% |
| Health Plan of Upper Ohio Valley | Medicaid | $1,390.59 | ↓ -90% |
| Health Plan of Upper Ohio Valley | Medicare | $1,390.59 | ↓ -90% |
| Aetna of PA | Medicare | $1,460.12 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $1,460.12 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,501.70 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,501.84 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $1,501.84 | ↓ -89% |
| Aetna | Medicare | $1,529.65 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $1,529.65 | ↓ -88% |
| UPMC Health Plan | Commercial | $2,431.35 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,453.09 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,461.77 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,808.65 | ↓ -49% |
| Highmark BCBS of PA | Managed Care | $7,314.83 | ↓ -45% |
| Cigna | New Business ASO | $7,535.08 | ↓ -43% |
| Cigna | Commercial | $8,864.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $9,118.73 | ↓ -31% |
| Health Plan of Upper Ohio Valley | Commercial | $10,238.84 | ↓ -23% |
| Highmark BCBS of PA | UPMC Emergent | $14,629.66 | ↑ +10% |
| Coventry/First Health | Commercial | $15,513.40 | ↑ +17% |
| InterGroup | PPO | $18,394.46 | ↑ +38% |
| Humana | Commercial | $18,837.70 | ↑ +42% |
| Private Health Care Systems | PPO | $18,837.70 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $18,837.70 | ↑ +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
Pet fdg brain metoblic eval sb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $7,773.00 | $751.40 – $2,453.09 |
| UPMC Presbyterian | Pittsburgh | $13,366.80 | $735.92 – $2,453.09 |
| UPMC Altoona | Altoona | $4,077.60 | $613.27 – $5,436.80 |
| UPMC Carlisle | Carlisle | $5,639.40 | $800.00 – $7,989.15 |
| UPMC Cole | Coudersport | $6,180.00 | $717.24 – $8,240.00 |
| UPMC Community Osteopathic | Harrisburg | $5,639.40 | $803.38 – $10,683.53 |
| UPMC Hanover | Hanover | $5,639.40 | $800.00 – $7,584.17 |
| UPMC Kane | Kane | $4,480.80 | $751.40 – $5,997.30 |