Rem/biv cast full arm/leg at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$441.00
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.
$735.00
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.
$93.83 with Highmark BCBS of PA vs $624.75 with Multiplan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $93.83 | ↓ -79% |
| UPMC Health Plan | Commercial | $135.93 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $208.90 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $235.30 | ↓ -47% |
| Cigna | New Business ASO | $249.90 | ↓ -43% |
| Health Plan of Upper Ohio Valley | Medicaid | $253.20 | ↓ -43% |
| Health Plan of Upper Ohio Valley | Medicare | $253.20 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $260.42 | ↓ -41% |
| United Healthcare | Unison Advantage Non Special Needs | $265.86 | ↓ -40% |
| Aetna of PA | Medicare | $265.86 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $273.43 | ↓ -38% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $273.46 | ↓ -38% |
| AmeriHealth Caritas | Medicare | $273.46 | ↓ -38% |
| Aetna | Medicare | $278.52 | ↓ -37% |
| United Healthcare | Unison Advantage Special Needs | $278.52 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $279.77 | ↓ -37% |
| Cigna | Commercial | $294.00 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $339.57 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity | $348.77 | ↓ -21% |
| PA Health & Wellness | PA Medicaid HMO | $404.25 | ↓ -8% |
| Coventry/First Health | Commercial | $514.50 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $559.55 | ↑ +27% |
| InterGroup | PPO | $610.05 | ↑ +38% |
| Private Health Care Systems | PPO | $624.75 | ↑ +42% |
| Humana | Commercial | $624.75 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $624.75 | ↑ +42% |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
| Tricare | East Region | 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
Comments
Rem/biv cast full arm/leg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $654.00 | $93.83 – $278.52 |
| UPMC Mercy | Pittsburgh | $265.80 | $92.94 – $278.52 |
| UPMC Presbyterian | Pittsburgh | $672.00 | $93.83 – $278.52 |
| UPMC St. Margaret | Pittsburgh | $450.00 | $93.83 – $278.52 |
| UPMC Carlisle | Carlisle | $370.80 | $84.67 – $525.30 |
| UPMC Cole | Coudersport | $220.20 | $36.59 – $105.60 |
| UPMC Community Osteopathic | Harrisburg | $370.80 | $123.60 – $525.30 |
| UPMC Hamot | Erie | $555.00 | $92.94 – $368.26 |