healthcosts.net
Support clav 29.6-40.5in 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$50.38 with Highmark Wholecare (prev Gateway) vs $598.19 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $50.38 | ↓ -63% |
| Aetna | Medicare | $57.25 | ↓ -58% |
| Cigna | New Business ASO | $77.86 | ↓ -43% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $81.33 | ↓ -41% |
| Cigna | Commercial | $91.60 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $105.80 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $114.50 | ↓ -17% |
| UPMC Work Partners | Workers Comp | $114.97 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $125.95 | ↓ -8% |
| Private Health Care Systems | Workers' Comp | $133.69 | ↓ -3% |
| Coventry/First Health | Commercial | $160.30 | ↑ +17% |
| InterGroup | PPO | $190.07 | ↑ +38% |
| Humana | Commercial | $194.65 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $194.65 | ↑ +42% |
| Private Health Care Systems | PPO | $194.65 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $223.32 | ↑ +63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $225.73 | ↑ +64% |
| Highmark BCBS of PA | Managed Care | $299.09 | ↑ +118% |
| Highmark BCBS of PA | Commercial - Indemnity | $302.31 | ↑ +120% |
| UPMC Health Plan | Commercial | $435.24 | ↑ +217% |
| Highmark BCBS of PA | UPMC Emergent | $598.19 | ↑ +335% |
Visitor-reported prices
Comments
Support clav 29.6-40.5in med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $129.60 | $51.84 – $236.84 |
| UPMC Presbyterian | Pittsburgh | $133.20 | $26.64 – $484.94 |
| UPMC St. Margaret | Pittsburgh | $131.40 | $43.80 – $368.04 |
| UPMC Muncy | Muncy | $180.60 | $45.15 – $240.80 |
| UPMC Northwest | Seneca | $165.00 | $68.75 – $362.95 |
| UPMC Wellsboro | Wellsboro | $218.40 | $49.14 – $245.70 |
| UPMC Williamsport | Williamsport | $180.60 | $60.20 – $240.80 |