healthcosts.net
Phosphorus at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$110.40
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.
?
What you pay up front if you don't use insurance.
$184.00
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.
$4.40 with UPMC Health Plan vs $147.90 with Private Health Care Systems — 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 Medicare | $4.40 | ↓ -96% |
| UPMC Health Plan | Commercial | $4.48 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $4.69 | ↓ -96% |
| Health Plan of Upper Ohio Valley | Medicaid | $4.74 | ↓ -96% |
| Health Plan of Upper Ohio Valley | Medicare | $4.74 | ↓ -96% |
| Aetna of PA | Medicare | $4.98 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $4.98 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $5.12 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.12 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5.12 | ↓ -95% |
| Aetna | Medicare | $5.21 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $5.21 | ↓ -95% |
| Private Health Care Systems | Workers' Comp | $5.45 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $7.21 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $7.53 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $9.23 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $9.71 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.23 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $11.16 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $16.03 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $21.47 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $25.62 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Indemnity | $34.32 | ↓ -69% |
| Highmark BCBS of PA | UPMC Emergent | $42.94 | ↓ -61% |
| Cigna | New Business ASO | $59.16 | ↓ -46% |
| Cigna | Commercial | $69.60 | ↓ -37% |
| Health Plan of Upper Ohio Valley | Commercial | $80.39 | ↓ -27% |
| Coventry/First Health | Commercial | $121.80 | ↑ +10% |
| InterGroup | PPO | $144.42 | ↑ +31% |
| Humana | Commercial | $147.90 | ↑ +34% |
| Multiplan | PPO (Includes Workers' Comp) | $147.90 | ↑ +34% |
| Private Health Care Systems | PPO | $147.90 | ↑ +34% |
Visitor-reported prices
Comments
Phosphorus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $39.60 | $3.95 – $59.40 |
| UPMC Presbyterian | Pittsburgh | $226.20 | $4.69 – $320.45 |
| UPMC St. Margaret | Pittsburgh | $56.40 | $4.09 – $79.90 |
| UPMC Muncy | Muncy | $262.80 | $4.69 – $350.40 |
| UPMC Northwest | Seneca | $37.20 | $4.30 – $52.70 |
| UPMC Somerset | Somerset | $24.60 | $4.69 – $30.00 |
| UPMC Wellsboro | Wellsboro | $85.60 | $4.69 – $96.30 |
| UPMC Williamsport | Williamsport | $70.80 | $4.69 – $94.40 |