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Rmvl icd by tv extr at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$3,049.80
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.
$5,083.00
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.
$1,613.55 with Highmark BCBS of PA vs $9,622.81 with Highmark BCBS of PA — 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 | $1,613.55 | ↓ -47% |
| Cigna | New Business ASO | $1,728.22 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $1,943.81 | ↓ -36% |
| Cigna | Commercial | $2,033.20 | ↓ -33% |
| Private Health Care Systems | Workers' Comp | $2,260.24 | ↓ -26% |
| Health Plan of Upper Ohio Valley | Commercial | $2,348.35 | ↓ -23% |
| PA Health & Wellness | PA Medicaid HMO | $2,795.65 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $3,224.34 | ↑ +6% |
| Health Plan of Upper Ohio Valley | Medicaid | $3,469.64 | ↑ +14% |
| Health Plan of Upper Ohio Valley | Medicare | $3,469.64 | ↑ +14% |
| Coventry/First Health | Commercial | $3,558.10 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,592.54 | ↑ +18% |
| Aetna of PA | Medicare | $3,643.12 | ↑ +19% |
| United Healthcare | Unison Advantage Non Special Needs | $3,643.12 | ↑ +19% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,746.86 | ↑ +23% |
| AmeriHealth Caritas | Medicare | $3,747.21 | ↑ +23% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,747.21 | ↑ +23% |
| Aetna | Medicare | $3,816.60 | ↑ +25% |
| United Healthcare | Unison Advantage Special Needs | $3,816.60 | ↑ +25% |
| InterGroup | PPO | $4,218.89 | ↑ +38% |
| Humana | Commercial | $4,320.55 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $4,320.55 | ↑ +42% |
| Private Health Care Systems | PPO | $4,320.55 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $4,478.46 | ↑ +47% |
| Highmark BCBS of PA | Managed Care | $4,811.40 | ↑ +58% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,997.94 | ↑ +97% |
| UPMC Health Plan | Commercial | $8,536.46 | ↑ +180% |
| Highmark BCBS of PA | UPMC Emergent | $9,622.81 | ↑ +216% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Rmvl icd by tv extr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $4,519.80 | $1,598.33 – $6,779.70 |
| UPMC Presbyterian | Pittsburgh | $9,886.20 | $931.20 – $14,005.45 |
| UPMC Somerset | Somerset | $4,589.40 | $892.40 – $5,736.75 |
| UPMC Williamsport | Williamsport | $4,125.60 | $993.28 – $5,500.80 |