Skull X-ray (complete) at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$666.60
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.
$1,111.00
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.
$47.82 with UPMC Health Plan vs $944.35 with Private Health Care Systems — 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 | Managed Medicaid | $47.82 | ↓ -93% |
| UPMC Health Plan | Commercial | $49.54 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $49.99 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $60.18 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $64.47 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $67.86 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $74.08 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $94.21 | ↓ -86% |
| Health Plan of Upper Ohio Valley | Medicaid | $101.38 | ↓ -85% |
| Health Plan of Upper Ohio Valley | Medicare | $101.38 | ↓ -85% |
| United Healthcare | Unison Advantage Non Special Needs | $106.45 | ↓ -84% |
| Aetna of PA | Medicare | $106.45 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -84% |
| Aetna | Medicare | $111.52 | ↓ -83% |
| United Healthcare | Unison Advantage Special Needs | $111.52 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $133.97 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $133.99 | ↓ -80% |
| Private Health Care Systems | Workers' Comp | $155.78 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $167.03 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $179.45 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $223.70 | ↓ -66% |
| Highmark BCBS of PA | UPMC Emergent | $358.90 | ↓ -46% |
| Cigna | New Business ASO | $377.74 | ↓ -43% |
| Cigna | Commercial | $444.40 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $513.28 | ↓ -23% |
| Coventry/First Health | Commercial | $777.70 | ↑ +17% |
| InterGroup | PPO | $922.13 | ↑ +38% |
| Humana | Commercial | $944.35 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $944.35 | ↑ +42% |
| Private Health Care Systems | PPO | $944.35 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Skull X-ray (complete) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $794.40 | $47.82 – $133.97 |
| UPMC Mercy | Pittsburgh | $765.60 | $47.82 – $131.24 |
| UPMC Presbyterian | Pittsburgh | $1,154.40 | $32.99 – $152.60 |
| UPMC St. Margaret | Pittsburgh | $682.20 | $47.82 – $133.97 |
| UPMC Altoona | Altoona | $262.80 | $27.49 – $350.40 |
| UPMC Bedford | Everett | $149.40 | $36.58 – $224.10 |
| UPMC Carlisle | Carlisle | $262.80 | $36.01 – $372.30 |
| UPMC Cole | Coudersport | $190.20 | $42.17 – $253.60 |