Pretreat rbc density gradient separation reference at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$70.80
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.
$118.00
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.
$10.18 with UPMC Health Plan vs $179.71 with United Healthcare — 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 | Commercial | $10.18 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16.12 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $27.99 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $37.49 | ↓ -47% |
| Cigna | New Business ASO | $40.12 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $44.74 | ↓ -37% |
| Cigna | Commercial | $47.20 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $54.52 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity | $59.92 | ↓ -15% |
| PA Health & Wellness | PA Medicaid HMO | $64.90 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $74.98 | ↑ +6% |
| Coventry/First Health | Commercial | $82.60 | ↑ +17% |
| InterGroup | PPO | $97.94 | ↑ +38% |
| Multiplan | PPO (Includes Workers' Comp) | $100.30 | ↑ +42% |
| Private Health Care Systems | PPO | $100.30 | ↑ +42% |
| Humana | Commercial | $100.30 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $151.82 | ↑ +114% |
| Health Plan of Upper Ohio Valley | Medicare | $163.37 | ↑ +131% |
| Health Plan of Upper Ohio Valley | Medicaid | $163.37 | ↑ +131% |
| United Healthcare | Unison Advantage Non Special Needs | $171.54 | ↑ +142% |
| Aetna of PA | Medicare | $171.54 | ↑ +142% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↑ +149% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↑ +149% |
| AmeriHealth Caritas | Medicare | $176.44 | ↑ +149% |
| Aetna | Medicare | $179.71 | ↑ +154% |
| United Healthcare | Unison Advantage Special Needs | $179.71 | ↑ +154% |
| Tricare | East Region | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pretreat rbc density gradient separation reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $102.00 | $10.68 – $179.71 |
| UPMC Presbyterian | Pittsburgh | $659.40 | $10.74 – $179.71 |
| UPMC St. Margaret | Pittsburgh | $64.20 | $10.20 – $179.71 |
| UPMC Horizon-Greenville | Greenville | $109.20 | $10.22 – $176.44 |
| UPMC McKeesport | Mckeesport | $30.60 | $10.36 – $179.71 |