healthcosts.net
Prq card stent w/angio addl at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$26,415.60
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.
?
What you pay up front if you don't use insurance.
$44,026.00
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.
$1,327.62 with Highmark BCBS of PA vs $37,422.10 with Private Health Care Systems — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,327.62 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,467.81 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,684.87 | ↓ -86% |
| Highmark BCBS of PA | Managed Care | $4,644.45 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,935.10 | ↓ -81% |
| Highmark BCBS of PA | UPMC Emergent | $9,289.19 | ↓ -65% |
| Aetna | Medicare | $11,006.50 | ↓ -58% |
| Cigna | New Business ASO | $14,968.84 | ↓ -43% |
| Cigna | Commercial | $17,610.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $18,596.58 | ↓ -30% |
| Health Plan of Upper Ohio Valley | Commercial | $20,340.01 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $22,013.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $24,214.30 | ↓ -8% |
| Coventry/First Health | Commercial | $30,818.20 | ↑ +17% |
| InterGroup | PPO | $36,541.58 | ↑ +38% |
| Humana | Commercial | $37,422.10 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $37,422.10 | ↑ +42% |
| Private Health Care Systems | PPO | $37,422.10 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
Comments
Prq card stent w/angio addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $23,616.60 | $1,315.10 – $35,424.90 |
| UPMC Presbyterian | Pittsburgh | $32,550.60 | $154.40 – $46,113.35 |
| UPMC Somerset | Somerset | $9,768.60 | $147.97 – $12,210.75 |
| UPMC Williamsport | Williamsport | $1,388.40 | $164.70 – $2,082.60 |