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Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$139.20
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.
$232.00
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.
$15.29 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 | $15.29 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16.53 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $28.71 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $38.45 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $45.89 | ↓ -67% |
| Cigna | New Business ASO | $47.26 | ↓ -66% |
| Cigna | Commercial | $55.60 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity | $61.45 | ↓ -56% |
| Health Plan of Upper Ohio Valley | Commercial | $64.22 | ↓ -54% |
| PA Health & Wellness | PA Medicaid HMO | $76.45 | ↓ -45% |
| Highmark BCBS of PA | UPMC Emergent | $76.90 | ↓ -45% |
| Coventry/First Health | Commercial | $97.30 | ↓ -30% |
| InterGroup | PPO | $115.37 | ↓ -17% |
| Humana | Commercial | $118.15 | ↓ -15% |
| Multiplan | PPO (Includes Workers' Comp) | $118.15 | ↓ -15% |
| Private Health Care Systems | PPO | $118.15 | ↓ -15% |
| UPMC Health Plan | Managed Medicare | $151.82 | ↑ +9% |
| Health Plan of Upper Ohio Valley | Medicaid | $163.37 | ↑ +17% |
| Health Plan of Upper Ohio Valley | Medicare | $163.37 | ↑ +17% |
| Aetna of PA | Medicare | $171.54 | ↑ +23% |
| United Healthcare | Unison Advantage Non Special Needs | $171.54 | ↑ +23% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↑ +27% |
| AmeriHealth Caritas | Medicare | $176.44 | ↑ +27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↑ +27% |
| Aetna | Medicare | $179.71 | ↑ +29% |
| United Healthcare | Unison Advantage Special Needs | $179.71 | ↑ +29% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
Comments
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $139.20 | $15.20 – $208.80 |
| UPMC Presbyterian | Pittsburgh | $798.00 | $16.14 – $1,130.50 |
| UPMC St. Margaret | Pittsburgh | $139.20 | $15.33 – $197.20 |
| UPMC Muncy | Muncy | $187.80 | $46.95 – $281.70 |
| UPMC Northwest | Seneca | $139.80 | $15.30 – $198.05 |
| UPMC Wellsboro | Wellsboro | $227.20 | $51.12 – $255.60 |
| UPMC Williamsport | Williamsport | $187.80 | $95.78 – $281.70 |