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Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$2,200.20
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.
$3,667.00
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.
$200.75 with UPMC Health Plan vs $4,393.81 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 | Managed Medicaid | $200.75 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $209.88 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $270.65 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $284.90 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $311.02 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $736.75 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $757.46 | ↓ -66% |
| Private Health Care Systems | Workers' Comp | $880.77 | ↓ -60% |
| UPMC Health Plan | Commercial | $1,046.63 | ↓ -52% |
| Cigna | New Business ASO | $1,246.78 | ↓ -43% |
| Cigna | Commercial | $1,466.80 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,640.37 | ↓ -25% |
| Health Plan of Upper Ohio Valley | Commercial | $1,694.15 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,044.88 | ↓ -7% |
| Highmark BCBS of PA | Managed Care | $2,196.91 | ↓ -0% |
| Coventry/First Health | Commercial | $2,566.90 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,738.68 | ↑ +24% |
| UPMC Health Plan | Managed Medicare | $2,874.65 | ↑ +31% |
| InterGroup | PPO | $3,043.61 | ↑ +38% |
| Health Plan of Upper Ohio Valley | Medicare | $3,093.35 | ↑ +41% |
| Health Plan of Upper Ohio Valley | Medicaid | $3,093.35 | ↑ +41% |
| Private Health Care Systems | PPO | $3,116.95 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $3,116.95 | ↑ +42% |
| Humana | Commercial | $3,116.95 | ↑ +42% |
| United Healthcare | Unison Advantage Non Special Needs | $3,248.02 | ↑ +48% |
| Aetna of PA | Medicare | $3,248.02 | ↑ +48% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,340.51 | ↑ +52% |
| AmeriHealth Caritas | Medicare | $3,340.82 | ↑ +52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,340.82 | ↑ +52% |
| Aetna | Medicare | $3,402.68 | ↑ +55% |
| United Healthcare | Unison Advantage Special Needs | $3,402.68 | ↑ +55% |
| Highmark BCBS of PA | UPMC Emergent | $4,393.81 | ↑ +100% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,800.40 | $200.75 – $5,700.60 |
| UPMC Presbyterian | Pittsburgh | $4,765.20 | $200.75 – $6,750.70 |
| UPMC St. Margaret | Pittsburgh | $2,229.60 | $200.75 – $3,248.02 |
| UPMC Muncy | Muncy | $6,141.00 | $200.75 – $8,188.00 |
| UPMC Somerset | Somerset | $4,150.20 | $200.75 – $5,187.75 |
| UPMC Wellsboro | Wellsboro | $7,427.20 | $200.75 – $8,355.60 |