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Pq biliary strict dil s&i at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,452.60
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.
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What you pay up front if you don't use insurance.
$2,421.00
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.
$147.90 with UPMC Health Plan vs $2,057.85 with Private Health Care Systems — 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 | $147.90 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $154.62 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $199.39 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $209.89 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $229.13 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $316.92 | ↓ -78% |
| UPMC Health Plan | Commercial | $506.91 | ↓ -65% |
| Aetna | Medicare | $605.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $680.49 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $705.62 | ↓ -51% |
| Private Health Care Systems | Workers' Comp | $791.27 | ↓ -46% |
| Cigna | New Business ASO | $823.14 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $879.63 | ↓ -39% |
| Highmark BCBS of PA | Managed Care | $945.02 | ↓ -35% |
| Cigna | Commercial | $968.40 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $1,118.50 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,178.08 | ↓ -19% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,210.50 | ↓ -17% |
| Coventry/First Health | Commercial | $1,694.70 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,890.05 | ↑ +30% |
| InterGroup | PPO | $2,009.43 | ↑ +38% |
| Humana | Commercial | $2,057.85 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $2,057.85 | ↑ +42% |
| Private Health Care Systems | PPO | $2,057.85 | ↑ +42% |
Visitor-reported prices
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Pq biliary strict dil s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,547.40 | $147.90 – $2,321.10 |
| UPMC Presbyterian | Pittsburgh | $2,625.00 | $112.48 – $3,718.75 |
| UPMC Somerset | Somerset | $2,397.60 | $107.79 – $2,997.00 |
| UPMC Williamsport | Williamsport | $3,042.00 | $119.97 – $4,056.00 |