healthcosts.net
Prealbumin at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$62.40
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.
$104.00
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.
$13.56 with UPMC Health Plan vs $132.76 with Highmark BCBS of PA — 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 | $13.56 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $14.42 | ↓ -77% |
| Health Plan of Upper Ohio Valley | Medicaid | $14.59 | ↓ -77% |
| Health Plan of Upper Ohio Valley | Medicare | $14.59 | ↓ -77% |
| Aetna of PA | Medicare | $15.32 | ↓ -75% |
| United Healthcare | Unison Advantage Non Special Needs | $15.32 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $15.76 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.76 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $15.76 | ↓ -75% |
| Aetna | Medicare | $16.05 | ↓ -74% |
| United Healthcare | Unison Advantage Special Needs | $16.05 | ↓ -74% |
| Private Health Care Systems | Workers' Comp | $16.77 | ↓ -73% |
| UPMC Health Plan | Commercial | $20.62 | ↓ -67% |
| UPMC Health Plan | Managed Medicaid | $22.18 | ↓ -64% |
| United Healthcare Community Plan for Families | Unison Kids | $23.18 | ↓ -63% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $28.54 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.90 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.47 | ↓ -50% |
| PA Health & Wellness | PA Medicaid HMO | $34.36 | ↓ -45% |
| Cigna | New Business ASO | $35.36 | ↓ -43% |
| Cigna | Commercial | $41.60 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $48.05 | ↓ -23% |
| Highmark BCBS of PA | Managed Care - Social Mission | $49.56 | ↓ -21% |
| Highmark BCBS of PA | Managed Care | $66.38 | ↑ +6% |
| Coventry/First Health | Commercial | $72.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $79.22 | ↑ +27% |
| InterGroup | PPO | $86.32 | ↑ +38% |
| Humana | Commercial | $88.40 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $88.40 | ↑ +42% |
| Private Health Care Systems | PPO | $88.40 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $106.10 | ↑ +70% |
| Highmark BCBS of PA | UPMC Emergent | $132.76 | ↑ +113% |
Visitor-reported prices
Comments
Prealbumin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $142.20 | $12.16 – $213.30 |
| UPMC Presbyterian | Pittsburgh | $688.80 | $14.42 – $975.80 |
| UPMC St. Margaret | Pittsburgh | $229.20 | $12.60 – $324.70 |
| UPMC Muncy | Muncy | $114.00 | $14.42 – $152.00 |
| UPMC Northwest | Seneca | $76.20 | $13.23 – $107.95 |
| UPMC Somerset | Somerset | $74.40 | $14.42 – $93.00 |
| UPMC Wellsboro | Wellsboro | $137.60 | $14.42 – $154.80 |
| UPMC Williamsport | Williamsport | $114.00 | $14.42 – $152.00 |