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Splint rstrc wrst/cmc right med at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$137.40
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.
$229.00
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.
$7.04 with Highmark Wholecare (prev Gateway) vs $600.13 with UPMC Health Plan — 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 Wholecare (prev Gateway) | Medicaid | $7.04 | ↓ -95% |
| Aetna | Medicare | $8.00 | ↓ -94% |
| Cigna | New Business ASO | $10.88 | ↓ -92% |
| Cigna | Commercial | $12.80 | ↓ -91% |
| Health Plan of Upper Ohio Valley | Commercial | $14.78 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $16.00 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $17.60 | ↓ -87% |
| Coventry/First Health | Commercial | $22.40 | ↓ -84% |
| InterGroup | PPO | $26.56 | ↓ -81% |
| Humana | Commercial | $27.20 | ↓ -80% |
| Multiplan | PPO (Includes Workers' Comp) | $27.20 | ↓ -80% |
| Private Health Care Systems | PPO | $27.20 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.77 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $133.92 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $135.36 | ↓ -1% |
| Highmark BCBS of PA | Managed Care | $179.36 | ↑ +31% |
| Highmark BCBS of PA | Commercial - Indemnity | $181.29 | ↑ +32% |
| Highmark BCBS of PA | UPMC Emergent | $358.72 | ↑ +161% |
| UPMC Health Plan | Commercial | $600.13 | ↑ +337% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
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Splint rstrc wrst/cmc right med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $129.60 | $48.31 – $326.56 |
| UPMC Presbyterian | Pittsburgh | $133.20 | $24.95 – $668.65 |
| UPMC St. Margaret | Pittsburgh | $131.40 | $43.80 – $507.47 |
| UPMC Muncy | Muncy | $122.40 | $26.61 – $183.60 |
| UPMC Northwest | Seneca | $97.20 | $40.50 – $500.44 |
| UPMC Wellsboro | Wellsboro | $148.00 | $26.61 – $166.50 |
| UPMC Williamsport | Williamsport | $106.20 | $26.61 – $159.30 |