Rbc serum pretx incubj drugs at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$192.60
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.
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What you pay up front if you don't use insurance.
$321.00
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.
$43.11 with UPMC Health Plan vs $418.48 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 | $43.11 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $51.42 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $89.29 | ↓ -54% |
| Cigna | New Business ASO | $97.24 | ↓ -50% |
| Cigna | Commercial | $114.40 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $119.58 | ↓ -38% |
| Health Plan of Upper Ohio Valley | Commercial | $132.13 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $142.71 | ↓ -26% |
| PA Health & Wellness | PA Medicaid HMO | $157.30 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Indemnity | $191.13 | ↓ -1% |
| Coventry/First Health | Commercial | $200.20 | ↑ +4% |
| InterGroup | PPO | $237.38 | ↑ +23% |
| Highmark BCBS of PA | UPMC Emergent | $239.16 | ↑ +24% |
| Private Health Care Systems | PPO | $243.10 | ↑ +26% |
| Humana | Commercial | $243.10 | ↑ +26% |
| Multiplan | PPO (Includes Workers' Comp) | $243.10 | ↑ +26% |
| UPMC Health Plan | Managed Medicare | $353.54 | ↑ +84% |
| Health Plan of Upper Ohio Valley | Medicare | $380.44 | ↑ +98% |
| Health Plan of Upper Ohio Valley | Medicaid | $380.44 | ↑ +98% |
| Aetna of PA | Medicare | $399.46 | ↑ +107% |
| United Healthcare | Unison Advantage Non Special Needs | $399.46 | ↑ +107% |
| Highmark Wholecare (prev Gateway) | Medicare | $410.84 | ↑ +113% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $410.88 | ↑ +113% |
| AmeriHealth Caritas | Medicare | $410.88 | ↑ +113% |
| Aetna | Medicare | $418.48 | ↑ +117% |
| United Healthcare | Unison Advantage Special Needs | $418.48 | ↑ +117% |
| 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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Rbc serum pretx incubj drugs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $194.40 | $45.22 – $418.48 |
| UPMC Presbyterian | Pittsburgh | $691.20 | $45.49 – $418.48 |
| UPMC St. Margaret | Pittsburgh | $691.20 | $43.22 – $418.48 |
| UPMC Bedford | Everett | $316.80 | $43.32 – $475.20 |
| UPMC Horizon-Greenville | Greenville | $205.80 | $43.27 – $410.88 |
| UPMC Jameson | New Castle | $213.00 | $2.36 – $410.88 |
| UPMC Muncy | Muncy | $189.60 | $294.81 – $294.81 |
| UPMC Wellsboro | Wellsboro | $229.60 | $294.81 – $294.81 |